LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES
PRACTICAL NURSING
STUDENT HANDBOOK 2020-2021
Prepared with Nursing Faculty input: Mary Grady, DNP, RN, CNE, CHSE Nursing Programs Administrator
Deborah L. Brown, MSN, RN Interim LPN Program Coordinator Updated August 2020 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
NURSING PROGRAM STUDENT DISCLOSURE STATEMENT
Students who are pursuing degrees or certificates leading to application for professional licensure or certification, and/or who are participating in clinical placements, internships, or practicum experiences through their program should be aware that their host facility requires a criminal fingerprint background check and drug screening. Each student is responsible for obtaining and paying for the background check and other screening processes at the school's designated vendor. Clinical facilities have the right to refuse clinical experiences to any student at any point in the nursing program. It is not the college's responsibility to secure alternative clinical experiences. A denial of clinical placement will result in the student's ineligibility to complete the program. Host facilities may consider expunged convictions in placement decisions. Students shall further be aware that a criminal record may jeopardize licensure by the State certification body.
Students should consult the Ohio Board of Nursing website for more details regarding background checks. Successful completion of a program of study at the College does not guarantee licensure. Standards for licensure may change during a student's program of study.
Students may not contact employees of clinical sites for any reason, including but not limited to, disputing denial of clinical placement due to background check issues, securing their clinical placements, or to request participation in observational or other experiences that are not an official activity of the program.
It is expected that students will spend a minimum of 2 to 3 hours for every hour of instruction spent in the classroom/laboratory performing course related work such as readings, research, homework assignments, laboratory practice, and other academic work. LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
STUDENT RESPONSIBILITIES
• The purpose of this Nursing Student Handbook is to advise students of the major responsibilities they must address while enrolled in the Lorain County Community College, Practical Nursing Program.
• Upon entering the nursing program, students will assume accountability for their own learning and practice of nursing as a student in the program. In an attempt to achieve the goal of becoming a Practical Nurse, students will utilize the available resources and assume responsibility for the behaviors stated in this Student Handbook.
• Students will abide by the rules, regulations, and guidelines regarding the Practical Nursing Program as approved by the Nursing Faculty and published in this 2020-2021 Nursing Student Handbook.
• Students enrolled in any nursing course during the fall of 2020, & spring and/or summer 2021 semesters are under the policies and procedures contained in the 2020-2021 Nursing Student Handbook unless changes are made at which time students will be notified of any changes.
• While this Student Handbook contains information regarding the Nursing Program, the syllabus for each nursing course will contain course-specific information and students are responsible for maintaining currency of information from the course syllabus.
LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
Contents
STUDENT AGREEMENT ...... 8 LORAIN COUNTY COMMUNITY COLLEGE VISION, MISSION, AND VALUES ...... 9 DIVISION OF HEALTH AND WELLNESS SCIENCES MISSION STATEMENT ...... 11 PRACTICAL NURSING PROGRAM PHILOSOPHY ...... 11 PRACTICAL NURSING PROGRAM CONCEPTUAL FRAMEWORK ...... 12 THE PRACTICAL NURSING PROGRAM OBJECTIVES/GRADUATE OUTCOMES ...... 14 THE NURSING PROCESS: ...... 14 ASSESSMENT ...... 14 NURSING DIAGNOSIS: ...... 14 PLANNING ...... 14 IMPLEMENTATION: ...... 14 EVALUATION: ...... 15 MEMBER OF THE DISCIPLINE/PROFESSIONALISM: ...... 15 MANAGING/SUPERVISION: ...... 16 POLITICAL ACTIVISM: ...... 16 EVALUATION ...... 21 PHARMACOLOGY AND IV CERTIFICATION POLICY ...... 27 PHARMACOLOGY CURRICULUM ...... 27 General Education Outcomes of Lorain County Community College ...... 30 OUTCOME ...... 31 American Heart Association Health Care Provider Certification ...... 32 Statement of Non-conviction ...... 36 Student Healthcare Insurance ...... 36 CLINICAL AGENCIES ...... 38 Technical Standards (Essential Program Requirements of the Practical Nursing Program ...... 39 Chapter III: Program Curriculum, Progression, and General Information ...... 42 Course Requirements ...... 42 Course Withdrawals ...... 42 Failure and Withdrawal Policy ...... 43 Deficiencies ...... 43 Grading Standards...... 43 Procedure for Reapplying to the Practical Nursing Program ...... 46 Procedure for Readmission ...... 46 Progression Requirements ...... 46 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
• Clinical Performance ...... 47 College Laboratory ...... 47 Academic Progression/Retention ...... 48 Registration Guidelines ...... 48 Chapter IV: Policies For Nursing Students ...... 50 Attendance/Absence of Student: ...... 50 Absence of Instructor In Clinical Agency ...... 51 Student Code of Conduct: Academic Integrity Policy ...... 51 Alcohol & Illegal Substance Use Policy ...... 53 Alterations in Clinical Assignments ...... 54 Bulletin Boards ...... 54 Calculators ...... 55 Cellular Phones and Pagers ...... 55 Change of Address, Phone Number, and/or Name ...... 55 Children in Class ...... 55 Clinical Performance Evaluation ...... 55 Clinical Performance Requirements ...... 56 Clinical: Student Code of Conduct ORC: Chapter 4723 ...... 57 Code of Conduct/Professionalism ...... 59 Student Responsibility ...... 60 Videotaping In Lab ...... 62 Computer Laboratory ...... 63 Confidentiality ...... 63 Electronic Device Policy ...... 63 Email Communication ...... 64 Emergencies on Campus ...... 64 Emergency Calls...... 64 Evaluation of Program by Students ...... 65 Evaluation of Student by Faculty ...... 65 Grievance Policy...... 65 Inclement Weather (Closing of College) ...... 65 Information Gathering in Agency Prior to Clinical Practice ...... 66 Late Test Taking Policy ...... 66 Latex Allergy Guidelines ...... 66 Lines of Communication ...... 66 Parking Fees for Clinical ...... 70 Physical Contact Policy ...... 71 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
Policy Changes ...... 76 Preceptor Policy ...... 76 Student Concerns/Complaints (Procedure) ...... 77 Student Records ...... 77 Student Responsibilities ...... 78 Student Responsibility Regarding Confidentiality ...... 78 Taping of Lectures, Phone calls, or Webex meetings ...... 78 Uniform Policy - Nursing ...... 81 Transfer Policy ...... 83 Articulation Options ...... 83 Chapter V: Student Support Services ...... 85 Accommodations for Practical Nursing Student:...... 85 Advising, Counseling and Financial Assistance: ...... 85 Employment and Career Services ...... 86 Individualized Learning Support and Testing Center ...... 86 Learning Management System Troubleshooting ...... 86 Faculty Meetings ...... 87 Student Nurse Association (SNA) ...... 87 Student Representatives ...... 87 Chapter VI: Graduation and Licensure Requirements ...... 88 Graduation Requirements ...... 88 Licensure and NCLEX-PN Examination ...... 88 Request for Recommendation/Reference ...... 89 APPENDICES ...... 90 MANDATORY LAB PRACTICE FORM ...... 98 FERPA RELEASE...... 99 LETTER OF RECOMMENDATION ...... 99 DIVISION OF HEALTH AND WELLNESS SCIENCES INFECTION CONTROL POLICY ...... 102 Guidelines for Body Substance Exposure in Clinical Settings...... 106 Guidelines ...... 106 Guidelines for Exposure to Tuberculosis in Clinical Settings ...... 108 American Hospital Association Advisory Committee ...... 108 Student Concern Progression Plan ...... 109 Permission to Review Student File ...... 112
LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
The Practical Nursing Program at Lorain County Community College is fully approved by:
Ohio Board of Nursing
17 South High Street, Suite 400 Columbus, Ohio 43215-7410
(614) 466-3947
(614) 466-0388 fax
Website: Ohio Board of Nursing
The Practical Nursing Program at Lorain County Community College is accredited by:
Accrediting Commission for Education in Nursing, Inc. (ACEN)
(Formerly the National League for Nursing Accrediting Commission, Inc.)
3343 Peachtree Road NE, Suite 850 Atlanta, Georgia 30326
Phone: 404.975.5000 Fax: 404.975.5020
Website: Accreditation Commission for Education in Nursing
Next scheduled evaluation visit Fall 2024
Revised: Patricia Schrull, MSN, MBA, M. Ed., RN 8/2013
Revised: Aileen Maslinski, MBA. BSN, RN 8/2014/ 8/2015/8/2016/8/2018
Deborah Brown, MSN, RN 8/2019, 8/2020
LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
STUDENT AGREEMENT
The purpose of this agreement is to inform students of the major responsibilities they must address while enrolled in the Lorain County Community College Practical Nursing Program.
ACCOUNTABILITY STATEMENT: Upon entering this program, I will assume accountability for my learning and practice of nursing. In an attempt to achieve the goal of becoming a Practical Nurse, I will utilize the available resources and assume responsibility for the behaviors stated in this Student Handbook.
I agree to abide by the rules, regulations and guidelines regarding the Practical Nursing Program as approved by the Nursing Faculty and published in this Nursing Student Handbook.
I further understand that while this Student Handbook contains information regarding the Nursing Program, the course syllabus for each nursing course will contain course-specific information which may take priority over the contents in this Student Handbook.
I understand that this handbook is posted on the students learning system (Canvas) and it is my responsibility to read and follow the information.
NON-DISCRIMINATION STATEMENT
The LCCC Practical Nursing Program and faculty believe in the recognition, rights, and value of every individual as a human being. The College and the program support provisions of law specifying nondiscrimination based on race, age, color, sex, religion, disability, national origin, or veteran status in administration of its admission policies, educational policies, employment practice, federal and state financial aid program, procurement activities, and other college administered programs.
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Chapter 1: General Information
LORAIN COUNTY COMMUNITY COLLEGE VISION, MISSION, AND VALUES VISION 2025 Vision: Create a vibrant community for all where… All students achieve academic and career success Industry talent needs are met and businesses start, locate, and grow People connect and prosper
Mission: Provide opportunities for… Individuals to succeed through quality education Economies to grow through innovation Communities to thrive through rich cultural experience Value: We value our role as the community’s college and the opportunity to build the community’s trust in order to educate, adapt, lead, and inspire. We value our role to create a better, more equitable future for our community.
Five Areas of Focus 1. Student Focused – Expand Participation
Prepare Working-Age Adults for New Economy Expand outreach to increase the number of working age adults pursuing education and training in order to have access to and succeed in high-demand, good paying jobs.
Prepare Next Generation Collaborate with K-12 to increase the number of high school students who graduate with college credit, reducing college debt and increasing their success as they pursue a college/career path after high school graduation.
2. Success Focused – Increase Completion and Academic Success
Offer Pathways to Emerging and In-Demand Jobs and Industries Enhance existing and develop new programs and pathways to align with in-demand jobs and industries such as: Advanced Trades, Advanced Manufacturing, Information Technology, Creative Economy, Artificial Intelligence, Healthcare, Agriculture, and the Internet of Things.
Ensure Equity for All Students – Break Down Barriers and Create Opportunities Through a caring campus culture, meet students where they are and remove barriers while creating rich opportunities to help students reach their full potential.
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Prepare Students with Future Ready and Soft Skills Provide broad educational experiences to prepare students with capacities and skills to thrive in a changing world. Focus areas include lifelong learning, entrepreneurial mindset, creativity, strong communication and problem solving abilities, social responsibility, application of digital and technology skills, and an ability to adapt and change.
Make Education and Training More Accessible and Flexible Deliver programs in flexible, affordable, accessible and intentional ways to meet diverse learning needs. Leverage technology to deliver education in multiple ways, locations, and at a pace adaptable to each individual student. Construct alternative, flexible scheduling options to meet student needs and expectations.
3. Future Focused – Foster Future Success
Expand Earn and Learn Models-Collaborate with employers to embed internships and apprenticeships into programs ensuring experiential learning for students.
Enhance Career and Job Placement Services-Facilitate connections between students, graduates, and employers. Help employers find qualified, highly skilled talent to meet workforce needs.
Expand Clear, Affordable Pathways to Bachelor’s and Graduate Degrees-Reduce students’ time and cost by expanding efficient, intentional transfer pathways and services, leading to University Partnership or other transfer partners. Expand LCCC’s applied bachelor’s degree programs for greater savings.
4. Work Focused – Improve Economic Competitiveness
Elevate Skills of Workforce as Economy Shifts-Expand continuing education and customized training opportunities to quickly retool, reskill workforce to keep people, communities and business/industry relevant as the economy changes.
Stimulate Innovation and Entrepreneurship -Leverage LCCC services and facilities to support innovation within business and industry, foster growth of new clusters and economies and accelerate invention, commercialization and entrepreneurship.
5. Community Focused – Enhance Quality of Life
Partner with Community Organizations to Address Common Community Challenges and Opportunities -Partner appropriately with other organizations and entities that are leading efforts to address common community areas of importance such as: transportation, digital connectivity, food insecurity, health and wellness, and drug addiction.
Leverage LCCC as Community Resource -Bring value to the entire community by leveraging amenities and programs to expand personal enrichment and lifelong learning opportunities including the cultural and culinary arts, entertainment, and health and wellness.
10 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
DIVISION OF HEALTH AND WELLNESS SCIENCES MISSION STATEMENT The Division of Health & Wellness Sciences supports the mission of Lorain County Community College. The mission of HWS is to prepare competent, entry-level graduates by:
• Providing programs that serve a diverse community of learners that uphold accreditations standards;
• Delivering programs that promote critical thinking and lifelong learning while enhancing health and wellness; and
• Responding to the needs of the community.
PRACTICAL NURSING PROGRAM PHILOSOPHY As an integral part of the Lorain County Community College, the Practical Nursing Program accepts the Mission Statement, Vision Statement, and Values of the college and functions within the general policies of the college. We, the practical nursing faculty, believe in the recognition, the rights, and the value of every individual as a human being, regardless of race, age, color, sex, religion, disability, national origin, or veteran status. We view the individual as holistic and capable of decision making and thus should be encouraged to actively participate in the delivery of health care. We believe in encouraging individuality and recognizing that each person has a unique contribution to make. We recognize the individual as member of a culturally diverse society which consists of a variety of groups such as families, significant others, and communities. Within each group, there exists certain relationships between the members. These relationships will directly or indirectly affect other members of the group. For this reason, these relationships should be considered in the planning and delivery of health care. Nursing is a discipline of knowledge and a field of professional practice. It is a caring, compassionate, interpersonal process that includes the promotion, restoration, and maintenance of health, as well as support during the dying process. The profession of nursing incorporates specialized knowledge, critical thinking, effective communication techniques, and therapeutic nursing interventions and skills derived from the principles of biological, physical, social, behavioral, nursing, and technological sciences. Application of these principles throughout the nursing process form the basis of competent practice. Nurses function as members of a collaborative interdisciplinary team that recognizes the right of persons to be active participants in their care. As a profession, nursing establishes standards of care, evaluates nursing practice, provides education, and functions within a legal, ethical, and multicultural framework. Practical Nursing is an integral part of nursing and the health care team. The licensed practical nurse functions in this role by carrying out the nursing process at the direction of and with the guidance of the registered nurse, licensed physician, or dentist. He/she functions in a variety of health care settings meeting the basic nursing care needs of individuals experiencing commonly occurring and well defined acute and long-term physical and mental problems, illnesses or adjustments with predictable outcomes. The licensed practical nurse functions within this directed scope of practice by participating in the development, implementation, and evaluation of the plan of care. Duties of the licensed
11 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM practical nurse may include the provision and delegation of safe, effective nursing care and teaching basic nursing skills and principles. The licensed practical nurse is also capable of performing additional nursing skills acquired through education beyond basic nursing preparation.
Teaching/learning is an interactive process between teacher and student. The process recognizes students as adult learners responsible for the outcome of their educational experiences. Each student has the right to an educational climate, which will enhance his/her ability to learn. Students should take responsibility for learning by assisting faculty to identify learning needs and by using learned information as a basis on which to expand their individual knowledge, skills, and educational background. Nursing education Theory, technical, and clinical experiences are provided to prepare the graduate to function as a practical nurse. Nursing education requires the full and active participation of the student in an organized program of study. Educational experiences are designed to provide nursing education while encouraging self improvement and participation in professional and community activities. The faculty create a learning environment that facilitates opportunities for practice of therapeutic nursing interventions, effective communication techniques, self awareness, critical thinking, and decision making. Recognizing that education is a lifelong process, the practical nursing faculty believe that the practical nurse should continue his/her education in a variety of ways to supplement knowledge and maintain currency in the field of nursing.
PRACTICAL NURSING PROGRAM CONCEPTUAL FRAMEWORK The program of learning prepares students to assume the role of licensed practical nurse. It is consistent with the philosophical statement and the program/graduate outcomes of the program and the mission statement, vision statement, and values of the college. It is based on the faculty’s beliefs related to nursing, practical nursing, the individual, society, the teaching/learning process, nursing education, and education as a lifelong process. The practical nurse provides and delegates care to the client in meeting the physiological, psychological, sociological, cultural, and spiritual needs of the client. The ability to meet the needs of the client through therapeutic nursing interventions are based on the nurse’s knowledge of biological, physical, social, behavioral, technological, and nursing science. Within the curriculum the client is defined as an individual functioning at the developmental levels of infant, child, adult, or older adult. The client will be considered a member of a family and a member of a community. An interactive teaching/learning process is used to integrate nursing theory and clinical practice. Utilizing the nursing process, critical thinking and effective communication, the practical nurse assists in the care of the clients in acute care, long term care, outpatient, and community based settings. The practical nurse participates in the promotion, maintenance, and restoration of health across the life span. Methods of dealing with death and dying, health education,
12 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM supervision/delegation roles, client advocation and political activism are also included in the curriculum.
Reviewed 2013, 2014 , 2015 P. Schrull, Reviewed 2016, 2017, 1018 A. Maslinski
Reviewed 2019, 2020 D. Brown
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THE PRACTICAL NURSING PROGRAM OBJECTIVES/GRADUATE OUTCOMES The program of learning prepares the graduates to function as licensed practical nurses. The graduate is eligible to take the NCLEX-PN and to apply for licensure as a practical nurse. The practice of nursing as a licensed practical nurse means providing to individuals and groups, nursing care requiring the application of basic knowledge of biological, physical, behavioral, social, and nursing sciences at the direction of a licensed physician, dentist, podiatrist, optometrist, or registered nurse. Therefore, we believe the following to be entry level competencies for the licensed practical nurse: THE NURSING PROCESS: ASSESSMENT: 1. Contributes to the nursing assessment of the client. 2. Uses critical thinking when collecting data on basic physical, emotional, spiritual and socio-cultural needs of the health care client. 3. Collects and documents objective and subjective data within established protocols and guidelines from various sources: a. Client interviews; b. Observations/measurements; c. Health care team members, family, and significant others; d. Health records. 4. Utilizes knowledge of normal values to identify deviations in health status. 5. Reports objective and subjective data as appropriate to other members of the health care team. NURSING DIAGNOSIS: 1. Assists the registered nurse with the identification of appropriate nursing diagnoses. PLANNING: 1. Contributes to the development, maintenance, or modification of the nursing component of nursing care plans utilizing established nursing diagnoses for clients with common, well-defined health problems with predictable outcomes. 2. Prioritizes nursing care needs of clients. 3. Assists in the review and revision of nursing care plans to meet the changing needs of clients. 4. Communicates to nursing component of the care plan and all modifications of the plan to appropriate members of the health care team.
IMPLEMENTATION: 1. Incorporates therapeutic nursing interventions according to:
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a. Accepted standards of practice; b. Priority of client needs; c. Individual and family rights to dignity and privacy. d. Design strategies to implement principles of diversity for clients and families, acknowledging the influence of age, gender, developmental level and culture. 2. Utilizes and maintains effective communication in: a. Recording and reporting to health care team members; b. Establishing and maintaining therapeutic communication with clients, families, and significant others. 3. Collaborates with health care team members to coordinate the delivery of nursing care. 4. Instructs clients regarding health maintenance based on client needs and nurse’s knowledge level.
5. Demonstrates use of communication technologies.
EVALUATION: 1. Contributes to the evaluation of the client’s response to nursing interventions, seeking guidance as needed. 2. Documents the client’s responses to nursing interventions in all appropriate places.
3. Communicates the client’s responses to nursing interventions to appropriate members of the health care team. 4. Contributes to the revision of the nursing component of the client’s plan of care on the basis of the evaluation, collaborating with other health team members as needed. MEMBER OF THE DISCIPLINE/PROFESSIONALISM: 1. Complies with the scope of practice as outlined in the nurse practice act of the state in which licensed. 2. Describes the role of the licensed practical nurse in the health care delivery system. 3. Maintains a commitment to learning through utilizing educational opportunities for continued personal and professional growth. 4. Identifies personal potential and considers career mobility options. 5. Identifies personal strengths and weaknesses for the purpose of improving performance. 6. Functions as an advocate for the health care consumer.
7. Demonstrates effective use of time and resources.
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8. Assume legal and ethical for nursing decisions and actions and accept accountability for own nursing practice which includes continued learning.
MANAGING/SUPERVISION: 1. Assumes responsibility for managing his/her own actions when providing nursing care for individuals and groups of clients. 2. Is accountable for nursing care delegated to unlicensed health care providers.
3. Prioritizes multiple commitments
POLITICAL ACTIVISM: 1. Is aware that the practical nurse, through political, economic, and societal activities, can affect nursing and health.
Reviewed: 1/87; 1/88; 2/89; 9/91 Revised: 2/97, 2004, 2006 Reviewed: 7/98, 6/99, 6/00, 6/01, 6/04, 6/08, 6/09, 6/10, 8/12, 8/13,8/14,8/15/8/16,8/17,8/18 P. Schrull A. Maslinski Reviewed: 8/19, 8/20 D. Brown,
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PRACTICAL NURSING LEVELS OF COMPETENCY During the course of preparation to function as a licensed practical nurse, the student will demonstrate progressive satisfactory performance in providing for the promotion, restoration, and maintenance of health for individuals experiencing commonly occurring and well defined problems, illnesses, or adjustment with predictable outcomes. The performance levels are as follows:
LEVEL 1: PRNS 111 LEVEL 2: PRNS 112 LEVEL 3: PRNS 116, 118, 120
After the first semester of Practical Nursing, After the second semester of Practical After the third semester of Practical Nursing, the the student should be able to use the Nursing Nursing, the student should be able to use student should additionally be able to use the Process at the following performance level: the Nursing Process at the following Nursing Process at the following performance performance level: level: THE NURSING PROCESS
ASSESSMENT
1. Define and demonstrate beginning 1. Demonstrate increased proficiency in 1. Demonstrate adequate proficiency and proficiency in basic physical and physical and psychosocial assessment employ critical thinking in assessing the psychosocial assessment skills on the skills on the adult client utilizing concepts physical and psychosocial needs of the adult client utilizing beginning concepts of of critical thinking under the direction of antepartum, intrapartum, postpartum, critical thinking under the direction of the the RN. Associate abnormal findings with newborn, and pediatric clients under the RN. medical, surgical, and psychiatric disease direction of the RN. processes.
2. Identify normal vs abnormal findings in 2. Compare normal vs abnormal findings in 2. Differentiate normal vs abnormal findings adults in noncomplex situations adults in increasingly complex situations, health status of the antepartum, interpreting deviations in health status. intrapartum, postpartum, newborn, and
17 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
pediatric client under the direction of the RN.
3. Document findings using appropriate 3. Document assessment data with 3. Summarize and document assessment data medical terminology. increasing proficiency. proficiently.
4. Identify normal/expected developmental 4. Associate the affects of health alterations 4. Examine the affects of health alterations on tasks in adult client; recognize the effect on the developmental tasks of the adult the developmental tasks of the childbearing of health deviations on developmental client. family/pediatric client and family. tasks.
5. Effectively communicate basic findings to 5. Effectively communicate assessment 5. Effectively communicate assessment appropriate persons. findings to appropriate persons. findings to appropriate persons.
6. Recognize basic overt learning needs of 6. Discuss more specific learning needs 6. Employ appropriate teaching/learning the adult client related to health of adult clients related to health maintenance principles in meeting the learning needs of maintenance and restoration and restoration. Describe adult the childbearing family/pediatric client and teaching/learning principles. family related to health maintenance and restoration..
NURSING DIAGNOSIS
1. Recognize nursing diagnoses appropriate 1. Construct appropriate nursing diagnoses 1. Modify and utilize appropriate nursing to noncomplex situations under the in more complex situations with the adult diagnoses in caring for the childbearing direction of the RN. client under the direction of the RN. family/pediatric client and family under the direction of the RN.
PLANNING
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1. State the plan of care for an adult client in 1. Plan care for adult clients in more 1. Plan care for the childbearing noncomplex situations. Plan care with complex situations; contribute to the family/pediatric client and family under the guidance using a structured format development of the nursing care plan direction of the RN. under the direction of the RN.
2. Recognize the importance of planning 2. Incorporate cultural and spiritual aspects 2. Incorporate cultural and spiritual aspects activities that incorporate cultural and of the client into the plan of care for adult into the plan of care for the childbearing spiritual aspects of the client. clients and families. family and the pediatric client and family.
3. Recognize and discuss the importance of 3. Apply principles of normal and 3. Apply principles of normal and therapeutic incorporating principles of normal therapeutic nutrition into the plan of care nutrition in the planning of care of nutrition into the plan of care. for adult clients. antepartum, postpartum, newborn and pediatric clients.
4. Assist in the review and revision of the 4. Assist in the review and revision of the nursing plan to meet the changing needs nursing care plan to meet the changing of the adult client needs of the childbearing family/pediatric client and family.
IMPLEMENTATION/THERAPEUTIC NURSING INTERVENTIONS
1. Perform selected basic therapeutic 1. Perform more complex therapeutic 1. Perform selected therapeutic nursing nursing interventions on the adult client nursing interventions on the adult client interventions safely and correctly on the safely and correctly. safely and correctly antepartum, intrapartum, postpartum, newborn, and pediatric client in noncomplex situations.
2. Apply basic fundamental nursing 2. Apply a higher level of nursing knowledge 2. Apply nursing knowledge and skills to care of knowledge and skills to adult client care in and skills to adult client care in more the antepartum, intrapartum, postpartum, noncomplex situations. complex situations. newborn and pediatric client. Modify care as needed.
19 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
3. Define and recognize effective 3. Apply effective communication 3. Analyze effective communication techniques communication skills for peer/coworker techniques for peer/coworker in peer/coworker interactions. interactions. interactions.
4. Define and identify therapeutic 4. Demonstrate therapeutic relationship 4. Demonstrate therapeutic relationships with relationship techniques with clients, techniques with clients, the child bearing family and the pediatric families, and significant others. families/significant others, and groups as client/family in individual and group appropriate. situations.
5. Report and record pertinent facts and 5. Report and record more complex 5. Report and record observations and nursing basic nursing care relating to the client. observations and nursing care relating to care related to the antepartum, intrapartum, the client. Compare and contrast the postpartum and pediatric client as findings with previous findings. appropriate. Relate the findings to appropriate health deviations.
6. Reinforce basic client teaching as 6. Initiate basic health teaching to adult 6. Initiate basic health teaching to the instituted by the registered nurse clients regarding health maintenance and childbearing family/pediatric client and reinforce teaching initiated by the family and reinforces teaching initiated by registered nurse. the registered nurse related to health maintenance and health restoration.
7. Comply with the scope of practice as 7. Comply with the scope of practice as 7. Comply with the scope of practice as outlined in the Ohio Nurse Practice Act. outlined in the Ohio Nurse Practice Act. outlined in the Ohio Nurse Practice Act.
8. Document basic assessments and nursing 8. Document more complex assessments 8. Document assessment and care of the care legibly, concisely, and correctly. and nursing care legibly, concisely and childbearing family and pediatric client and correctly. family legibly, concisely, and correctly
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EVALUATION
1. Evaluate basic nursing care of the adult 1. Evaluate more complex nursing care of 1. Evaluate nursing care of the childbearing client in noncomplex situations with the adult client with appropriate family/pediatric client with appropriate appropriate guidance. guidance. guidance.
2. Collaborate with and assists other 2. Collaborate with and assists other members members of the health care team in the of the health care team in the revision of revision of teaching and nursing care teaching and nursing care plans. plans.
GENERIC ABILITIES
After the first semester of Practical Nursing, After the second semester of Practical After the third semester of Practical Nursing, the the student should be able to perform at the Nursing, the student should be able to student should be able to perform at the following levels: perform at the following levels: following levels:
COMMITMENT TO LEARNING
1. Identifies problems and formulates 1. Prioritizes information needs. 1. Applies new information and re-evaluates appropriate questions. 2. Seeks out professional literature. performance. 2. Identifies and locates appropriate 3. Identifies own learning needs based on 2. Sets personal and professional goals and resources. previous experiences. recognizes education as a lifelong process. 3. Demonstrates motivation toward 4. Seeks out new learning opportunities. 3. Is able to recognize and verify solutions to learning. problems
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INTERPERSONAL SKILLS
1. Maintains professional demeanor in all 1. Recognizes impact of non-verbal 1. Works effectively with challenging patients. clinical interactions. communication and modifies accordingly. 2. Responds effectively to unexpected 2. Demonstrates an interest in patients as 2. Assumes responsibility for own actions. experiences. individuals. 3. Establishes trust. 3. Delegates to others as needed. 3. Is nonjudgmental toward and respects 4. Seeks to gain knowledge and input from 4. Discusses difficult issues with sensitivity and cultural and personal differences of others; objectivity. others. 5. Respects the roles of others. 5. Accommodates differences in learning 4. Communicates with others in a respectful, styles. confident manner 5. Respects personal space of patients and others. 6. Maintains confidentiality in all clinical interactions. 7. Demonstrates acceptance of limited knowledge and experience. COMMUNICATION ABILITIES
1. Demonstrates understanding of basic 1. Utilizes nonverbal communication to 1. Modifies communication (verbal and English (verbal and written); uses correct augment verbal message; restates, written) to meet the needs of different grammar, accurate spelling and reflects and clarifies messages; audiences. expression. 2. Plans and presents a small group in- 2. Presents verbal or written messages with 2. Writes legibly. service. logical organization and sequencing 3. Recognizes impact of nonverbal 3. Demonstrates progress in using 3. Maintains open and constructive communication. communication technology communication 4. Demonstrates active listening skills 4. Utilizes communication technology 5. Accepts introduction to communication effectively technology. EFFECTIVE USE OF TIME AND RESOURCES
1. Focuses on task at hand without dwelling 1. Sets up own time schedule; coordinates 1. Sets priorities and reorganizes when needed on past mistakes schedule with others
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2. Uses existing resources effectively 2. Plans ahead 2. Performs multiple tasks simultaneously and 3. Uses unscheduled time efficiently. 3. Demonstrates flexibility delegates when appropriate. 4. Completes assignments in a timely 3. Uses scheduled time efficiently. fashion. CRITICAL THINKING/PROBLEM SOLVING
1. Recognizes problems and raises relevant 1. Prioritizes problems 1. Implements solutions; reassesses solutions questions. 2. Identifies contributors to problems 2. Justifies solutions selected 2. States problem clearly 3. Considers consequences of possible 3. Determines effectiveness of applied 3. Describes known solutions to problems solutions solutions 4. Identifies resources needed to develop 4. Seeks and formulates alternative ideas 4. Exhibits openness to alternative ideas solutions. Begins to examine multiple 5. Consults with others to clarify problems solutions and articulates ideas. 5. PROFESSIONALISM
1. Abides by the Practical Nursing Code of 1. Identifies positive, professional role 1. Demonstrates accountability for decisions. Ethics. models. 2. Treats patients within the scope of practical 2. Demonstrates awareness of state 2. Discusses societal expectations of the nursing education licensure regulations profession 3. Discusses the role of practical nursing in 3. Abides by facility policies and procedures 3. Acts on moral commitment health care 4. Projects a professional image 4. Involves other health care professionals in 4. Maintain the patient as priority. 5. Demonstrates honesty, compassion, and a decision making. 5. Participates in professional and community continuous regard for all. 5. Respects individual and family rights to activities related to the nursing profession. 6. Respects individual and family rights to dignity, privacy, and participation in care. 6. Respects individual and family rights to dignity, privacy, and participation in care. 6. Begins to participate in professional and dignity, privacy, and participation in care. 7. Demonstrates an awareness of the community activities related to the importance of participating in nursing profession.. professional and community activities related to the nursing profession. RESPONSIBILITY
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1. Demonstrates dependability 1. Accepts responsibility for own actions and 1. Delegates as needed 2. Demonstrates punctuality outcomes 2. Encourages patient accountability. 3. Follows through on commitments 2. Provides a safe and secure environment 4. Recognizes own limitations for patients. 3. Offers and accepts help as needed 4. Completes projects without prompting STRESS MANAGEMENT
1. Recognizes own stressors or problems 1. Maintains balance between professional 1. Prioritizes multiple commitments 2. Recognizes stress or problems in others and personal life 2. Responds appropriately to urgent situations 3. Seeks assistance as needed 2. Demonstrates effective affective 3. Tolerates inconsistencies in the health care 4. Maintains professional demeanor in all responses in all situations environment. situations 3. Accepts constructive feedback 4. Establishes outlets to cope with stressors. USE OF CONSTRUCTIVE FEEDBACK
1. Actively seeks feedback and help 1. Assesses own performance accurately 1. Considers multiple approaches when 2. Demonstrates a positive attitude toward 2. Utilizes feedback when establishing goals responding to feedback feedback 3. Develops plan of action in response to 3. Critiques own performance feedback. Reviewed 8/2020
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PRACTICAL NURSING COURSE DESCRIPTIONS PRNS 110, Introduction to Medications 1(1) A course designed to provide the student with information basic to the administration of medication. An emphasis is placed on the mathematics needed to calculate drug dosages. Corequisites: PRNS 111, BIOG 115, ENGL 161. Offered Fall Semester. PRNS 111, Fundamentals of Medical Surgical Nursing I 10 (19) An introduction to the role of the practical nurse and basic nursing techniques. Principles of adult growth and development, legal and ethical issues, nursing history and trends are introduced. Principles of medical/surgical nursing are introduced through meeting the needs of the adult clients with health problems related to integumentary, musculoskeletal, gastrointestinal, sensory, and reproductive systems. Laboratory required. (A special fee will be assessed.) Prerequisites: High school graduate; STNA registry and/or divisional approval, correction of deficiencies from placement assessment; 2.0 GPA for previous college coursework. Corequisites: PRNS 110, BIOG 115 ENGL 161 PRNS 112, Medical Surgical Nursing II 12(23) A continuation of practice in medical surgical nursing through meeting the needs of adult clients with problems related to the circulatory, urinary, neurosensory, respiratory, hematological systems, the terminally ill, mental illness, community health nursing, geriatric nursing in long-term care, and nursing trends. Laboratory required. (A special fee will be assessed.) Prerequisites BIOG 115, PRNS 110, PRNS 111, Corequisite PSYH 151.
PRNS 116, Maternity Nursing 2(6) Managing the care of the obstetrical client and their family in the health care setting. Clinical required. (A special fee will be assessed.). Prerequisites: PRNS 112; Corequisites: SOCY 151 and PRNS 118.
PRNS 118, Pediatric Nursing 2(6) Managing the care of the pediatric client and their family in the health care setting. Emphasis will focus on the pediatric and geriatric client. Clinical required. (A special fee will be assessed.) Prerequisite: PRNSII2; Corequisites: SOCY 151, PRNS 116
PRNS 120, Management in Geriatrics 2(6)
Managing the care of the geriatric client and their family in long term care setting. Clinical required. (A special fee will be assessed.) Prerequisite: PRNSII2; Corequisites: SOCY 151, PRNS 116.
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A “C” or better must be earned in order to continue in the sequence and/or to complete the program Body Structure and Function must be take before or concurrent with PRNS 111
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PHARMACOLOGY AND IV CERTIFICATION POLICY The following MUST be accomplished in order to receive certification in Medication Administration and IV Administration in the Practical Nursing program: 1. A grade of "C" must be received in Practical Nursing 110; Introduction to Medications; 2. Successful completion of the IV therapy unit including lab and clinical competencies in PRNS 112 3. Students will not receive a separate medication competency card or a separate IV certification card from the Ohio Board of Nursing, but certifications will be indicated on their Practical Nursing license.
PHARMACOLOGY CURRICULUM
PRNS 110 Introduction to Medications 1. Drug uses, sources, and references 2. General principles of pharmacology 3. Pharmacodynamics and factors affecting drug action 4. Forms and routes of medications 5. Metric and apothecary conversions 6. Dosage calculations 7. Nursing responsibilities in the administration of medications 8. Controlled drugs and drug abuse 9. Drug Classifications
PRNS 111 Medical-Surgical Nursing I 1. Gastrointestinal drugs 2. Musculoskeletal 3. Reproductive 4. Dermatologic Drugs 5. Sensory system drugs (eye, ear, nose)
PRNS 112 Medical-Surgical Nursing II 1. Drug Therapy and the elderly 2. Cardiovascular drugs 3. Nervous system drugs 4. Anti-neoplastic drugs 5. Hematological drugs 6. Renal system drugs 7. Anti-infective drugs 8. Antipsychotic, antianxiety, antidepressant drugs 9. Endocrine drugs 10. IV therapy- all requirements according to OBN Administrative Code
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PRNS 116 Maternity Nursing 1. Reproductive hormones 2. Oxytocic drugs 3. Tocolytic drugs
PRNS 118 Pediatric Nursing 1. Pediatric medication safety 2. Calculating dose per weight 3. Special considerations in administration of medications to children
PRNS 120 Management in Geriatrics 1. Capstone experience. 2. Utilizes all information learned in previous courses to safely deliver medications to patients in a long term care facility.
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CODE OF ETHICS FOR THE LICENSED PRACTICAL NURSE The Licensed Practical/Vocational Nurse shall: 1. consider as a basic obligation the conservation of life and the prevention of disease. 2. promote and protect the physical, mental, emotional, and spiritual health of the patient and his family. 3. fulfill all duties faithfully and efficiently. 4. function within established legal guidelines. 5. accept personal responsibility (for his acts) and seek to merit the respect and confidence of all members of the health team. 6. hold in confidence all matters coming to his knowledge, in the practice of his profession, and in no way and at no time violate this confidence. 7. give conscientious service and charge just remuneration. 8. learn and respect the religious and cultural beliefs of his patient and of all people.
9. meet his obligation to the patient by keeping abreast of current trends in health care through reading and continuing education. 10. as a citizen of the United States of America, uphold the laws of the land and seek to promote legislation which shall meet the health needs of its people.
*NAPNES - National Association for Practical Nurse Education and Service, Inc.
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General Education Outcomes of Lorain County Community College
Core course outcomes: student will take designated courses to fulfill requirement
C1: English: Demonstrate logical organization, coherent thinking, and precision in writing.
C2: Mathematics: Utilize college mathematics to solve problems.
C3: Natural Science: Apply scientific concepts and methods of inquiry.
C4: Social Science: Apply concepts, principles and methods of inquiry in the social sciences.
C5: Humanities: Examine the nature of human expression and/or artistic creativity.
Infused outcomes: outcome is embedded into a number of courses
In1: Critical Thinking: Employ critical thinking skills in addressing issues and problems.
In2: Communication: Demonstrate competence in verbal and nonverbal communication.
In3: Diversity: Analyze the role of diversity in the development of the individual, the community, and the global society.
In4: Ethics: Apply personal, professional, social and civic values.
In5: Health: Identify behaviors that promote health of the individual.
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INCLUSION OF THE LCCC GENERAL EDUCATION OUTCOMES IN THE PRACTICAL NURSING CURRICULUM
OUTCOME C1 C2 C3 C4 C5 In In In In In5 1 2 3 4
PRNS 110 X X
PRNS 111 X X X X X X X X X
PRNS 112 X X X X X X X X X
PRNS 116 X X X X X X X X
PRNS 118 X X X X X X X X
BIOG 115
ENGL 161 X X X
SDEV 101
PSYH 151 X
SOCY 151 X X
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Chapter II: Admission Requirements
Admission Requirements for Practical Nursing 1. Official high school or GED and college/program transcripts (if applicable) on file in the LCCC Records office. 2. Proficiency in basic math (MTHM 041 ) or equivalent with a grade of C or better. 3. Recognized state tested nursing assistant (STNA) status, completion of nurse aide training program (ALHN 114) or division approval. 4. 2.0 GPA for all college coursework completed at any institution of higher education. 5. Successful completion of all deficiencies shown during the placement assessment process with a grade of C or better. 6. Program application form on file. 7. ATI TEAS Exam with the achievement of basic level of academic preparedness.
American Heart Association Health Care Provider Certification Students will:
A. Maintain a current American Heart Association Healthcare Provider card during the time they are enrolled in the Associate Degree Nursing program. The Division of HEALTH AND WELLNESS does not recognize a “grace period” after my card expires. The student must complete the American Heart Association Healthcare Provider course. Please note that “Heart Saver” certification is not acceptable, nor is certification from the Red Cross.
B. Be unable to attend clinical practice while the Healthcare Provider card is not current. If the student chooses to schedule re-certification during clinical hours, it will be considered an unexcused clinical absence.
Practical Nursing Program Mandatory Program and Clinical On-Boarding Requirements The nursing program/clinical agencies have mandatory requirements that must be completed every semester for students to be enrolled in current or future nursing courses. Requirements must be current throughout the program, even during school breaks. Students will be notified of the deadline for initial submission of requirements and ongoing deadlines throughout the program. Failure to meet the deadlines or to allow a lapse in requirements while in the program could result in ineligibility to remain in the current course and/or take nursing course the next semester. Clinical facilities require documentation of health requirements, background check, drug screen, CPR, medical insurance, and completion of electronic documents and modules/tests prior to participation in clinical experiences. Additional requirements may be required by clinical agencies at any time, thus obligating the student to meet said requirements to remain enrolled in or move forward to the subsequent semester. Students will incur the cost of all requirements. If a student does not want the clinical facility to receive required information,
32 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM the student will be ineligible to participate in clinical experiences and will be administratively withdrawn from the nursing program. It is the responsibility of the student to regularly check lorainccc email, ACEMAPP, and the Nursing Information page on the LCCC website for communications regarding registration, clinical placement, on-boarding requirements, and health requirements. Students who step out of the program and are therefore out of sequence are also responsible for checking to determine requirements that need to be updated. If any requirement is due to expire while enrolled in the nursing program, the student is responsible for updating requirements before the expiration date. Failure to do so will result in a withdrawal from the current course and/or the inability to move forward to the next semester. It is not the school's responsibility to notify students of missing or outdated requirements. Requirements Physical Examination: A physical examination by a primary health care provider is required. This examination must be submitted at the start of the practical nursing program by the established deadline. The physical must have been completed within one year of the practical nursing program start date. A student who steps out of the program for l year or more is required to submit a new physical examination.
Vaccinations/Immunizations
• Hepatitis B - Documentation of anti-HB titers of at least lO mlU/ml must be provided as proof of immunity if previously immunized. If the titer is less than lO mlU/ml, the student needs to be revaccinated with another 2-dose or 3-dose series. Unvaccinated students need to complete either a 2-dose series of Heplisav-B at O and 1 month or a 3-dose series of either Engerix-B or Recombivax-HB at 0, 1, and 6 months. Students need to submit proof at least one dose prior to clinical. Must complete the series to continue through the program. Students are considered “high risk” for hepatitis B because of the possibility of coming in contact with blood products.
• Tdap/Td - Documentation of a single dose of Tdap vaccination within 10 years of entering the nursing program must be provided. Proof of Td booster must be submitted if Tdap booster expires while in the nursing program.
• Varicella - Documentation of vaccination with 2 doses of varicella vaccination 28 days apart. Laboratory evidence of immunity can be submitted if cannot provide proof of vaccination or in the case of unvaccinated individuals who have history of varicella disease. History of disease is no longer considered proof of immunity for healthcare workers. Students without documentation of prior vaccination and without serologic evidence of immunity need to have 2 doses of varicella vaccination 28 days apart. (HAVE ALL TB TESTING COMPLETED BEFORE VACCINATION)
• Influenza - Required annually. Period for flu vaccination is determined by clinical agencies each season. This will be communicated to students via email. Incoming fall students will need to provide proof of vaccination by date established. Incoming spring students will need to provide proof of vaccination when turning in all other health requirements.
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• TB Testing - • Documentation of TB blood test within 1 year of starting program. Will need to provide proof of retesting annually. OR Documentation of 2 step TB skin test within 1 year of starting program. A two step Mantoux test is required at the start of the nursing program. It consists of tow injections. Each is given at separate times, one week apart. It takes at least 9 das to complete the two-step TB test. Will need to provide proof of retesting annually (one step yearly after the initial 2 step). • Once this is completed, the TB blood test or TB skin test can be submitted annually. There is no need for a two-step for annual TB testing. • Students with latent TB infection (positive reactors without symptoms) must submit a normal chest x-ray result annually in place of TB testing. TB TESTING MUST BE DONE PRIOR TO RECEIVING VARICELA OR MMR VACCINATION
• Measles, Mumps, Rubella –
• Measles: Documentation of two doses of live measles vaccine (or MMR) given on or after 12 months of age and separated by at least 28 days. • Mumps: Documentation of two doses of live mumps vaccine (or MMR) given on or after 12 months of age and separated by at least 28 days. • Rubella: Documentation of one dose of live rubella vaccine (or MMR) given on or after 12 months of age
• Laboratory evidence of immunity for all three diseases can be submitted if cannot provide proof of vaccination or in the case of unvaccinated individuals who have history of disease. • Students without documentation of prior vaccination and without serologic evidence of immunity need to have 2 doses of MMR administered 4 weeks apart.
• History of disease is no longer considered proof of immunity for healthcare workers *Physical documentation must be submitted if a student is not able to submit a health requirement for medical or religious reasons. Clinical facilities have the right to refuse clinical experiences to any student who does not meet the requirements. It is not the college's responsibility to secure alternative clinical experiences.
Illness/injury If a student develops a prolonged illness or injury while in the nursing pro ram, the student may be advised to withdraw. The student may return to the program upon receipt of written permission from the attending physician. Written permission must state that the student may participate in clinical without restrictions. It is the student's responsibility to notify the lead faculty of prolonged illness or injury that would prevent clinical attendance.
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Latex Allergies There are certain circumstances in clinical facilities and in nursing practice labs that present a major exposure to latex products. Latex allergy can result from repeated exposures to proteins in natural rubber latex through skin contact or inhalation. Primary sources of exposure are latex gloves and latex tubing. The exposure may put the student at risk for an unforeseen allergic response to latex particles. If a student has had any reactions to latex exposures or develops an initial reaction, it is their responsibility to notify the course instructor. If reasonable modifications cannot eliminate the reactions to latex, the student may be counseled to consider a career change. Lorain County Community College will NOT be responsible or liable for any student reactions/allergies to latex products.
Infectious/Contagious Status Clinical facilities require notification of any student known to test positive for an infectious or contagious disease including tuberculosis, hepatitis, COVID-19, and HIV. Upon request from the clinical facility, the student will be required to provide follow up information to assess the risk of transmission and clinical suitability.
Drug Testing All students enrolled in the nursing program must complete a 10-panel drug test every semester. The results of these reports will be disclosed to agencies, hospitals, and clinical facilities. In accordance with clinical site requirements, students with a positive drug screen may be ineligible to participate in a clinical course/rotation. To be placed at a clinical agency, all students must have a negative drug test or if positive, written documentation supporting a medical reason for the positive result. The clinical agency still has the prerogative to refuse clinical placement to a student even if such documentation is provided. Incoming students with a positive drug test result without supporting documentation are ineligible to start the program. Students with a positive drug test result without supporting documentation who are already in the program must withdraw from the course. They can repeat a drug test in 90 days and if negative, return to the nursing program. The date of return will depend on the school calendar, the start of the clinical rotation, and the availability of space in the clinical rotations. Students with a negative dilute must repeat the drug test and pay for additional drug test fees.
Criminal Background Check All students enrolled in the practical nursing program must complete a criminal background check before beginning the practical nursing program by the established deadline. It will need to be repeated at the end of the program in order to apply for state licensure. A student will also need to repeat a background check if they step out of the program for I year or more. The results of these reports will be disclosed to agencies, hospitals, and clinical facilities prior to EVERY rotation. In accordance with clinical site requirements, the clinical agency reserves the right to deny clinical placement resulting in ineligibility to participate in the course/program. For ethical reasons, the college will not secure alternative clinical experiences if a student is denied clinical placement due to a positive background check.
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Statement of Non-conviction The conviction of a crime might prevent a student in the nursing program from licensure/ certification eligibility or employment in a healthcare facility. If you have had past convictions or pleaded guilty to any of the crimes listed on the form, it is very important that you meet with the Program Coordinator to obtain accurate information concerning your specific situation before entering the nursing program. Information shared during these meetings will be kept confidential. A statement of non-conviction form is issued at orientation and must be uploaded into ACEMAPP by the deadline set by the program coordinator as part of the new student on-boarding process.
Student Healthcare Insurance Students are financial responsible for their own health care. This includes emergency treatments incurred because of injuries at the clinical site or exposure to illnesses. Neither Lorain County Community College nor the clinical facility will be responsible for any fees incurred because of student injury or illness. Students are to assume financial responsibility of personal illness or injury while assigned to agencies for their clinical experience.
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Liability Insurance All students must carry liability insurance while practicing in the clinical setting. Therefore, the cost of liability insurance is incorporated into the lab fee for each clinical course. Coverage is only in effect while enrolled in a nursing course and participating in a required clinical experience as a nursing student. This malpractice insurance covers the student only during assigned clinical time and does NOT cover students during out-of-school employment. Certification in CPR (cardiopulmonary resuscitation) This certification must be the American Heart Association - Basic Life Support Healthcare Provider. Certification is valid for two years and must be kept current. The nursing program does not recognize a grace period after a card expires. If the student's CPR certification expires, they will not be able to attend clinical practice and it will be counted as an unexcused absence with clinical points assigned per policy. No other forms of certification will be accepted including Heart Saver, American Red Cross, or on-line courses. Clinical Facility Data The student's name, last four digits of the social security number, date of birth, home address, home phone number, college email address or other identifying data may be given to assigned clinical facilities upon request of the facility. Students must enter this information in My Campus and ACEMAPP, required paper documents and/or required clinical facility websites.
Health Requirements for Reentry If a student decides to re-enter the practical nursing program for any reason, or step into the practical nursing program from the registered nursing program, the student is responsible to follow the current requirements of the program. One may be required to have some or all of the health forms updated to comply with the time frames outlined in the specific requirements.
Registration Process and Guidelines 1. Registration forms will be handed out to incoming students during the mandatory program orientation and in subsequent semesters, during class time by the Clinical Coordinator. The student will complete accurately and legibly their name, student ID number, college email address, and choice of bundled theory, lab, and clinical sections. 2. Students will be randomized by computer and assigned day or evening sections based on position on the list. 3. All health and ACEMAPP requirements need to be completed or updated by the deadline for the registration form to be processed by the Clinical Coordinator. If you do not have your requirements completed; you will not be registered until these are met. In addition to not being registered, the student will also lose their spot on the randomized list and be assigned to course sections last once requirements are met. 4. The deadline for fall semester is June 1. 5. The deadline for spring semester is November 1.
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6. Each student has unique circumstances however everyone has a reason for needing the section (day or evening) they have requested due to childcare, elder care, work issues, etc. The randomized process will not be circumvented to place value on one set of circumstances over another. It is important that each student have a backup plan for continuing each semester if the ideal class/clinical schedule is not available. 7. Once course sections for lecture and lab have been assigned, changes will not be made. 8. Students will see their lecture and lab schedules in My Campus by June 30 for fall semester and November 30 for spring semester. 9. The Practical Nuring program reserves the right to alter/cancel any lecture/clinical/Jab section if the number of students falls below the set seat size and/or there is a lack of available faculty Clinical Placement 1. Clinical assignments will not be finalized and uploaded until after July 31 for fall semester and after December 31 for spring semester. 2. Students can see their clinical assignments in My Campus. 3. No changes will be made to clinical assignments except for administrative reasons (loss of clinical site or faculty or need to collapse clinical assignments due to student attrition). 4. Once the student clinical schedule is assigned, the clinical rosters will be entered into ACEMAPP. At that time students will receive on-boarding instructions from the facilities. Please be sure to be checking college email and ACEMAPP for important information and time deadlines. 5. Failure to complete clinical on-boarding by the facilities established deadline will result in student having to withdraw from the course. 6. Some clinical facilities do not use ACEMAPP. In those instances, if clinical on- boarding is required, the student will be notified by college email. 7. Clinical assignments could include sections which meet on weekdays, weekends, evenings, and distances requiring travel time. (revised 5/2020) CLINICAL AGENCIES The following acute care clinical agencies are used by the Practical Nursing Program for clinical experiences. Additional sites are also utilized for specialized or observational experiences. Agency Contact
Mercy Regional Medical Center 3700 Kolbe Road, Lorain, OH 440 960-4000 44053
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UH EMH Regional Medical Center 440 329-7500 630 East River Road, Elyria, OH 44035 Mercy Allen Hospital 200 W. Lorain St, Oberlin, OH 440-775-1211 440-775-1211
Technical Standards (Essential Program Requirements of the Practical Nursing Program Student skills and abilities are necessary to attain the required outcomes of the course. It is required, with or without accommodation, that a student not poses a direct threat to the health and safety of themselves or to individuals in the college or clinical areas. Students who cannot meet the physical and mental requirements of the program may be taken out of the clinical courses until the student is deemed safe to continue in the program.
Physical Requirements
• Capability to provide nursing care for 6 to 12 hours.
• Perform one-man CPR.
• Lift and move patients and objects of 35 pounds or more.
• Move from room to room quickly.
• Maneuver in limited spaces.
• Demonstrate a high level of manual dexterity. For example: sterile technique to insert catheter, withdraw blood, prepare, and administer medications, (IV, IM, PO, Rectally).
• Work at different heights/levels.
• Use both hands simultaneously.
• Produce clear written materials. Sensory Abilities
• Hearing: Respond and react immediately to auditory instructions/requests, monitor equipment and perform auditory auscultation with assistance devices.
• Vision: Identify correct patient. Visual acuity to perform visual assessments through inspection and such abnormalities as cyanosis, or the absence of respiratory movement. Able to read written instructions, medication labels, patient records and directions in utilizing equipment. Differentiate the color spectrum.
• Speech: Clearly and succinctly explain procedures and provide patient education, and communicate client status to appropriate persons. Communicate in English clearly enough for most patients to understand and understand the verbal communication of English-speaking patients.
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• Touch: Palpate to perform a physical assessment. Discriminate between sharp and dull and hot and cold.
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Mental Effort
• Read with comprehension.
• Use algebra in solving mathematical problems.
• Interpret graphs, numerical tables, and charts.
• Recognize an instrument or equipment problem exists and acts appropriately.
• Analyze data and solve problems.
• Communicate effectively in writing.
• Use appropriate grammar, vocabulary, and word usage. Emotional
• Function safely under stressful conditions and can come to quick decisions.
• Ability to adapt to ever changing environment inherent in clinical situations involving patient care.
• Provide service to all patients regardless of age, sex, race, national origin, religious or physical condition and disease process.
• Demonstrate emotional stability, and effective coping when providing patient care. Work Environment
• Ability to tolerate taxing workload.
• Ability to function in the uncertainty that is inherent in clinical situations.
• Ability to carry out procedures that prevent spread of infection, such as, frequent hand washing, using mask, gloves, and goggles.
• Ability to function in a group setting.
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Chapter III: Program Curriculum, Progression, and General Information
Course Requirements Students will:
• Be given information about specific requirements at the beginning of each course. • Purchase and read the syllabus, required textbooks, and the Nursing Student Handbook. • Complete reading assignments as designated in the course syllabus prior to the lecture or college laboratory class. • Write legibly or type, using correct grammar, spelling, and sentence structure. • Complete all assignments and submit them on time. Late assignments will not be accepted by faculty and 0 points will be earned t=for the late assignment. • Students must submit evidence of certification in cardiopulmonary resuscitation (CPR) – Healthcare Provider from the American Heart Association. Also, all ACEMAPP requirements must be kept up to date. Failure to complete and keep these requirements up to date may result in an "F" in the course, as you will not be able to attend clinicals. • All assigned clinical material must be given to the designated person by the specified date in order to receive credit for same. Example: Plans of Care, Diet History, etc. The theory grade may be lowered by one letter grade for habitually “late” work in the clinical or laboratory component of the course. This will be a total faculty decision. • The weekly college laboratory is mandatory. Students are expected to be present, punctual, and prepared for the college laboratory. Any missed laboratory classes must be made up as arranged by the laboratory instructor. Absenteeism, tardiness, and/or lack of preparation will be addressed and may be cause for a written deficiency. Failure to correct the deficient areas will constitute a failure of college laboratory. A failure in the college laboratory component of the course constitutes failure of the course. This will be a total faculty decision.
Course Withdrawals Once the first course of the program has started (PRNS 111) anyone who wishes to withdraw from any PRNS course must obtain the course instructor’s signature on a Health and Wellness Sciences Clinical Course Wihdrawal Status Report form (In Health and Wellness Office HS 223) before the withdrwal can be processed. The instructor will indicate whether or not the student’s grade in the course at the time of withdrawal is: Satisfactory (78%, C or higher) and considered a passing grade or Unsatisfactory (Below 78%, D or lower) and considered a failing grade. This form must then be submitted to Enrollment Services (located in the library/Community Resource building along with a completed Course Withdrawal form,in order for the withdraw to be processed.
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If the student was failing at the time of withdrawal, this withdraw failure status counts as if the student received a failing grade in the course for purposes of the course repetition/program continuance policies.
Failure and Withdrawal Policy
• All nursing students who earn a D or F in lecture, or receive an unsatisfactory in clinical or lab will fail the course. A student who withdraws from a nursing course will be required to submit a Withdrawal Status Report Form signed by the course instructor. This form is initiated by the faculty of the course the student is withdrawing from and documents whether or not the student was passing or failing the course at the time of withdrawal. If the student is failing, this withdrawal failure status counts as if the student had received a failing grade in the course for purposes of the course repetition/program continuance policies. The student takes the Withdrawal Status Report Form to Enrollment Services where the college’s Withdrawal Form will be completed.
• For any student who fails (earns “D” or “F”) from two (2) nursing courses, he/she will be academically dismissed from the program. A Withdraw failure status counts as a failure. There is no policy for readmission back into the ADN Program. The student can reapply to the program .
• At the time of the 1st course failure, the student must make an appointment with the Nursing Program Administrator or Program Coordinator to complete a Progression Plan and registration paperwork. The completed Progression Plan is then taken by the student to the Health and Wellness academic advisor in Enrollment Services. (See Appendices for Program Progression Plan form & policy)
Deficiencies Students may be given a theory, lab, and/or clinical deficiency warning at mid-semester or any time throughout the course. This deficiency warning is given for non-achievement in the nursing course and is a warning that improvement by the student is immediately necessary to prevent failure of the course. All students are treated on an individual basis At the time of official deficiency notification, the respective faculty member will meet with the student to discuss the specific areas of deficiency and to identify means for improvement. At the end of this meeting, the student will understand the deficient areas and will acknowledge this by receiving a copy of the deficiency.
Grading Standards A. A course grade of passing is earned by the achievement of 78% (C) or above in Theory (there is no rounding of grades) and a “Satisfactory” evaluation in clinical practice and college laboratory skills. B.An “Unsatisfactory” evaluation in clinical and/or College laboratory will result in a course grade of “F,” regardless of the Theory grade. C. A Theory grade of 70% - 77.9% will result in a “D” and below 70% will result in an “F”, regardless of the clinical or college laboratory performance.
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D. Unsatisfactory clinical performance that jeopardizes patient safety will result in student dismissal from the clinical area, resulting in a grade of “F” for the assigned course.
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Nursing course grades are based on the following scale: 93- 100% = A 85- 92% = B 78- 84% = C 70- 77% = D Below 70% = F Final course theory grades in each required program course are in whole percentages. Thus, there is NO rounding, e.g. 78% = C, 77.9% = D. In addition, the course grade may be lowered one letter grade for consistently incomplete or unexcused late assignments in lecture, clinical laboratory or College laboratory. A grade of “C” or better must be earned to pass a practical nursing course and proceed in the nursing curriculum. The Nursing Program will follow the College’s Policy for Incomplete Grades.
Final Course Grade In each nursing course, it is required that a student receive a minimum of 78% in theory to pass the course. There is no rounding of grades. If a student receives a 77.9% as a final course grade, the grade given will be a D and the student cannot proceed to the next course. Students have two weeks from the end of the semester to contact their theory instructor and discuss not passing of the course. After the two weeks, the course grade stands. A “Satisfactory” in clinical performance and College laboratory also is required for successful completion. “Satisfactory” (S) or “Unsatisfactory” (U) in the clinical component is the grading standard. Deficiency notices will continue to be used in both theory and clinical practice. All deficiency notices will outline what is necessary to correct deficiencies. Any student who poses an immediate threat to the health, safety, confidentiality and/or welfare of a patient will be removed immediately from the clinical setting. The faculty member will discuss the incident with the Program Director and/or Nursing faculty, and a decision will be made as follows: 1. The student will receive a clinical “Unsatisfactory.” 2. The student will receive a deficiency if faculty within the program think that there were extenuating circumstances.
Grades No grades will be given over the telephone; therefore, do not call the division secretaries or your faculty member. At the beginning of each course, the instructor will discuss the method students in their course will use to obtain test scores/grades.
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Final course grades can be obtained through MyCampus at the college’s website.
Procedure for Reapplying to the Practical Nursing Program During the first semester in the Practical Nursing program, any student who withdraws from PRNS 110, PRNS 111, or both courses must contact their enrollment services advisor and submit a new program application if he/she wishes to enroll in the course(s) again. Students who need to repeat either PRNS 110 or 111 will likewise have to complete a new program application. The completion of a new program application does not serve as a guarantee of program admission for a specific year or term. Consequently, the student will not be granted priority admission to the program. Students must have a 2.0 GPA for re-entry into the program and must comply with all existing program entry requirements current at the time of re-entry. Additionally, a Program Progression Plan must be completed with the Practical Nursing Program Coordinator. (See Appendix for form).
Procedure for Readmission After 2 failures, a student will be dismissed from the program. The student shall follow the college’s Grievance Procedure if the student does not feel the dismissal is warranted. After failing 2 courses in the program, and therefore dismissed, a student may re-apply to the program again, to start at the beginning, after a one-year break. All admission requirements must be met in order to apply for re admission Progression Requirements In order to continue in the Practical Nursing Program, a student must earn a grade of "C" (2.00) or better in each course in the Practical Nursing program (PRNS 110, 111, 112, 116, 118, 120; BIOG 115; ENG 161; PSYH 151; and SOCY 151). The nursing faculty retains the prerogative of not permitting a student to continue in the program if he/she is not demonstrating proficiency in the college laboratory or clinical laboratory, is unsafe in the clinical laboratory, or is in any way a detriment to client care.
The Theory portion of the practical nursing program is graded as follows: A = 93 - 100 % Superior Quality - 4.00 credit points B = 85 - 92 % High Quality - 3.00 credit points C = 78 - 84 % Average - 2.00 credit points D = 70 - 77 % Below Average - 1.00 credit points F = below 70 % Failing - 0.00 credit points
• A grade of “C” or better in all nursing courses; earn a grade of “C” or better in each science course; and must maintain a cumulative grade of “C” (2.0 GPA) in all other required courses in the Practical Nursing program curriculum.
• If the student receives less than a “C” in any nursing course, he/she may repeat this course, but will not continue in the nursing clinical course in which these courses are a prerequisite until they have passed the failed course.
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• Students will complete the prerequisite course(s) and follow the progression of courses as outlined.
• Students will complete the requirements of the course according to College policy if they receive an incomplete in a course.
• The Academic Progression Policy of the Practical Nursing program states that students earning a D, F or Withdraw Failing letter grades in any two (2) required nursing course/s will be academically dismissed from the program.
• Clinical Performance Evaluations are completed by students and faculty at midterm and at the end of the semester. Evaluation for clinical experience is on the Satisfactory - Unsatisfactory basis. An Unsatisfactory in this area constitutes an "F" in the course. The following will be graded on a Satisfactory - Unsatisfactory basis:
• Patient Plan of Care/Concept maps • Clinical Preparation tools • Medication Sheets • Weekly Clinical Performance Evaluations • Dietary Analysis
College Laboratory Performance is graded as Satisfactory – Unsatisfactory and is based on weekly performance of procedures. At any time if a student fails clinical or lab, the student will not be able to withdraw from the course. and a final grade of F will be given. . A final evaluation of Unsatisfactory or failure of the Final Competency in lab, constitutes failing of lab, which is a course failure. In addition, the course grade may be lowered one grade for consistently incomplete or unexcused late assignments in lecture, clinical, or College laboratory.
A grade of "C" or better must be earned to pass a Practical Nursing clinical course.
A student will be expelled from the college or clinical laboratory for unsafe clinical practice, persistent nonattendance, or the inability to complete the assignments that are required to meet the course objectives in the theory, college laboratory, or clinical portions of the course. Expulsion will result in an unsatisfactory college or clinical laboratory grade and consequently an F for the course. Note: Unsafe clinical practice is defined as behavior that places the client, staff members, or peers in physical or emotional jeopardy. Physical jeopardy means that the student creates an environment that poses the risk of physical harm. Emotional jeopardy refers to creating an environment of anxiety or distress that poses the risk for emotional or psychological harm.
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Academic Progression/Retention A student who passes the Practical Nursing clinical course in which he/she is presently enrolled automatically progresses into the next Practical Nursing clinical course for which he/she is pre-registered. A student who receives a final grade below a "C" or an “Unsatisfactory” in a Practical Nursing course may repeat that course only once. A student may not continue in the program if a second failure occurs in that or another Practical Nursing course. Failing a course and withdrawing from a course because of unsatisfactory performance or a failing percentage are synonymous (they mean the same thing). A student who wishes to re-enter the nursing sequence after failing or withdrawing from the nursing program must make his/her intention known to the Health and Wellness SciencesCounselor as soon as the student decides he/she wishes to re-enter. Students may contact enrollment services and complete a re-entry program application. Re-entering students are not placed into the nursing sequence until the last day of the semester, which precedes re-entry. Placement into the sequence at that time is contingent entirely on available space. Space Availability and Placement: The number of seats that will be available in nursing clinical courses will not be known until all final grades have been posted at the end of each semester. Students who are seeking a seat in a particular course must complete and submit a Clinical Progression Request form. Submissions must be made in person. Course admission will be granted based on the following student categories (listed in order of priority): (1) Out-of-sequence, (2) Re-entry, and (3) Transfer. Within each of the above categories, students will be ranked according to their cumulative grade point average (all transfer work will be included in the computation of the GPA).
Step-over to LPN Program for the previous curriculum ADN to LPN step-over students will be placed on a case-by-case basis, based on available space in the required PRNS course(s) for which the student is eligible. Students may step over to the LPN Program after 2 course failures and have not failed any lab or clinical courses. The Step- over Reference Form must be completed by a full-time nursing faculty member. The completed form needs to be submitted to Deborah Brown, MSN, RN, LPN Program Coordinator in HS 223 for consideration.
Registration Guidelines Students who are seeking admission into the first semester of the Practical Nursing program are registered as part of the initial orientation process for new students. In subsequent semesters, students will be registered by the office staff of Health and Wellness Division. Prior to the published registration period, students enrolled in a PRNS course will be asked to state their intent regarding their theory, lab, and clinical bundle choices for the upcoming semester. Students who interrupt their clinical coursework and are not currently enrolled must contact the Health & Wellness counselor by midterm of the semester prior to re-entry to obtain information regarding seat availability and registration information.
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Out-of Sequence, Re-entry, and transfer students who need to register for a course must be put on a Re-entry List kept by the Health & Wellness counselor. Registration for the needed course will take place at the end of the semester as these clinical openings are offered on a space available basis. Placement on the Re-entry List is determined by the semester of request and current LCCC GPA.
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Chapter IV: Policies For Nursing Students
Attendance/Absence of Student:
When possible, advance arrangements should be made with the instructor.
Attendance is expected at lectures, seminars, group sessions, college laboratory, and clinical agency experiences. Absences from lectures, college and clinical laboratory will be cause for review. Nursing students must attend each clinical and laboratory experience and deficiency points are given for missed time or tardiness in these settings. Any student who misses clinical or laboratory experience and is unable to meet clinical objectives will be subject to review and/or dismissal. Please refer to the course syllabus for the Attendance and Dress Code Deficiency Point System for both clinical and college lab. Also note attendance requirements in the college catalog. The clinical instructor will advise students regarding the notification procedure on the first clinical day of each semester in case of an unavoidable absence on the assigned day. Upon return to the clinical area, it is the responsibility of the student to complete an absence report form, and to discuss with the instructor the amount of makeup work and content covered. At the discretion of the clinical instructor, in consultation with the lead instructor, extra written work may be required. Prolonged (three consecutive days) absence, hospitalization absence, surgical absence, maternity absence, or infectious illness requires a written clearance from a physician for return to the clinical area. (See LCCC COVID 19 policy for any infections of this type.). The physician note must indicate that the student may return to the clinical environment and perform patient care with no restrictions/ or limitations. When students are absent from lecture, they should contact their instructor and give the reason for their absence. Students are responsible for content missed. Students will be dismissed from the clinical agency for any of the following reasons and it will be an unexcused absence: Failure to be prepared for clinical practice through: 1. Appropriate research not completed for clinical assignment. 2. Failure to be present at staff report or preconference as directed by the clinical instructor.
3. Expiration of CPR certification. 4. Expired/incomplete ACEMAPP requirements Students are to be aware that: Any absences or tardiness to lab or clinical may result in a deficiency and/or my removal from the course. If the student is unable to attend a College nursing class, or will be late, they are responsible for notifying the instructor.
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The student is responsible for getting the information they have missed. If the student is unable to attend clinical laboratory, or will be late, the student is responsible for notifying the assigned agency prior to the clinical experience, by either leaving a message with the Nursing Office, calling the instructor, or following the agency protocol. Prolonged absence from clinical practice may result in a clinical failure due to the student’s inability to demonstrate satisfactory performance in meeting all course objectives.
Absence of Instructor In Clinical Agency If a faculty member is absent from the clinical agency at the time preconference is to begin, students are to proceed as follows:
1. One student of the clinical group should contact the Division of HEALTH AND WELLNESS for further directions. The College telephone numbers are: Toll Free - 1-800-995-5222, extension 4015 Elyria-(440) 366-4015 (direct line) 2. Students may not leave the clinical agency until they further direction has been given, alternate arrangements have been made, and permission is given to leave. 3. Students may not proceed with patient care if an instructor is not present at the agency. When the scheduled beginning clinical time has passed by 15 minutes, one student should notify the agency staff that the instructor is absent. If a faculty member is ill and knows the preceding day that he/she will not be in the clinical agency, he/she may contact students in the affected clinical group. The division dean (ext. 7171) and/or the program director (ext. 4177) must be notified also. The clinical instructor will advise students regarding the notification procedure on the first clinical day of each semester in case of an unavoidable absence on the assigned day. Additionally, when clinical time is missed secondary to inclement weather or emergency closures, that time will be made up. Information regarding specific times for make-up clinicals will be part of the course calendar and communicated at the beginning of each semester. Student Code of Conduct
In order to create and maintain a college environment conducive to scholarship, social growth and individual self discipline, students are expected to aide by local, state, and federal laws as well as college rules and regulations.
Student Code of Conduct: Academic Integrity Policy Students caught not doing their own work (by cheating, plagiarism, sharing of information by any means, or other prohibited behaviors) on any examination may be subject to program dismissal. “Cheating” is defined by irregular behaviors as observed by faculty that include but are not limited to:
• Copying a classmate’s answers to test questions or assignments,
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• Allowing classmate to copy one’s answers to test questions or laboratory worksheet questions, • Looking at a classmate’s paper/computer during a quiz or exam, • Giving the appearance of looking around the room during a quiz or exam, • Falsifying laboratory results, vital signs, • Sharing answers to exam questions with other students, • Plagiarism of writing from another source.
Quizzes and Exams Anyone caught cheating on a quiz or exam will be given a grade of “F” for the course and be dismissed from the program. College Laboratory/Clinical Setting Anyone caught not doing their own work in the college laboratory or clinical setting will be given a written Deficiency Notice documenting the incident and be expected to repeat that assignment. If a student is caught cheating in the college laboratory or clinical setting a second time, they will be immediately dismissed from the Program and receive a grade of “F” for the course. Clinical Assignments: Anyone caught lying or cheating in any way at their clinical site will be given an Unsatisfactory (U) clinical grade and immediately dismissed from the clinical site. If a clinical agency bars or refuses to take the student at that clinical site due to inappropriate behaviors, that student will fail the course, receive an F and not allowed to be placed at another clinical site. All course materials are the property of Lorain County Community College
Student Code of Conduct: Professionalism Nursing students are expected to maintain a professional manner and appearance. Courtesy and consideration for others are qualities to be exhibited by the students and the faculty. Punctuality, attentiveness, patience, respect and cooperation are all part of professional conduct. Appropriate attire should be worn in all class, clinicals and labs. See Dress Code Policy section of Student Handbook. Responsibility relates very specifically to the main objective of the program, which is quality patient care. Regarding academic responsibility, the student is responsible for assignments and completing all required tasks related to stated outcomes. Health care depends upon professional ethics. The nursing faculty emphasizes that attitudes and actions reflect the student's professional ethics Students recognizing unacceptable behavior by another student should not allow the behavior continue without appropriately addressing the situation. Refer to College Catalogue for Code of Student Conduct and College policy: Code of Conduct
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Consequences of Program Dismissal Due to Academic Dishonesty or Unprofessional Behavior
• If a student is dismissed for academic dishonesty and/or unprofessional behavior from a Health and Wellness Sciences program, they will be permanently ineligible for re-entry into that program.
• If a student is dismissed for academic dishonesty and/or unprofessional behavior from one Health and Wellness Sciences program, they will be permanently ineligible for entry into any other LCCC Health and Wellness Sciences program.
• If a transfer student has been dismissed for academic dishonesty and/or unprofessional behavior from a program at another institution and LCCC faculty become aware of it, the student will be permanently ineligible for entry into any LCCC Health and Wellness Sciences program.
• Any student case involving dismissal for academic dishonesty and/or unprofessional behavior from a Health and Wellness Sciences program shall automatically be referred to the College’s Code of Conduct process. The student can be temporarily or permanently removed from the classroom, laboratory, and clinical setting pending investigation and resolution through the Code of Conduct.
Alcohol & Illegal Substance Use Policy The possession or use of alcoholic beverages on the premises of LCCC or at an activity sponsored by the College is strictly prohibited. A student under the influence of alcohol or other moos-altering substances not prescribed for them can be removed from classes and referred to Campus Services and will be subject to disciplinary action governed by the LCCC Student Code of Conduct. LCCC supports and promotes a drug-free campus environment. In accordance with the Drug-Free Schools and Communities Act Amendment of 1989, it is a violation of College regulations and pertinent state and federal statutes to unlawfully manufacture, possess, use and/or distribute illicit drugs and alcohol on the campus. Students expressing concerns about their use/abuse of substances will be offered a referral to a Student Development Office counselor, the Nord Family Mental Health Center professionals, or the Family Services Association of Lorain County professionals (all on campus). A student on campus with the SMELL of alcohol on their breath (which can linger sometime after the time of drinking) will be sent home if causing any disturbance or is felt to be a risk for injuring themselves or others. This is considered grounds for discipline. A student with the SMELL of alcohol on their breath in a clinical setting will be confronted, have the odor confirmed by another person, have the situation documented, be counseled, and sent home. Students may also be required to abide by other policies as specified by the particular clinical site. This is grounds for discipline. Students suspected to be under the influence of illegal drugs, will have their behaviors/appearance confirmed by another faculty or responsible person. If they present a disruption to the class, lab or campus proceedings, they will be removed from the immediate area or activity and campus services will be notified. If this occurs while in the clinical practicum setting, the clinical practicum’s rules and regulations will apply, up to and
53 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM including immediate and permanent dismissal from the clinical site, and/or mandatory drug testing. The student is subject to the agency’s drug/alcohol testing policies as if the student were an employee.
Alterations in Clinical Assignments
1. Clinical assignments could include sections which meet on weekdays, weekends, evenings, and distances requiring travel time.
2. All nursing students are required to meet the didactic objectives as well as the clinical objectives of each clinical course within the nursing program in which they are enrolled. 3. It is the student's responsibility to inform the necessary faculty if there is to be an alteration or absence in clinical assignments due to illness, injury, or pregnancy. The faculty reserves the right to request a physician's statement if such an alteration is requested. 4. Alterations in clinical time (for faculty or students) shall not occur unless there has been approval given by the lead instructor and/or program director. 5. Due to an unforeseeable event such as closing of a clinical section or agency restrictions, a student’s clinical assignment may be changed after registration and before the course begins. This is not a frequent occurrence, and students will be informed of any change.
6. The Practical Nursing program reserves the right to alter/cancel any lecture/clinical/lab section if the number of students falls below the set seat size and/or there is a lack of available faculty.
ATI The Assessment Tecnologies Institure (ATI) is a comprehensive, assessment and review program designed to provide LCCC practical nursing students with a variety of learning tools that will assist them in mastering content and improving test taking abilities, reinforcing course lecture material, and identifying strengths and needs in areas tested in the NCLEX- PN. The Practical Nursing program uses ATI in PRNS 120, taken in the last semester of the program (typically summer). The package includes a 3 day comprehensive review and then a PN Comprehensive Predictor Exam. The review and predictor exam is aligned with content from the latest NCLEX-PN blueprint. Also included in the package, there are study materials for the student to use to prepare for the NCLEX-PN exam. Fee for this package is assessed to the student in the PRNS 120 course fees. You will be notified in late spring semester of these mandatory dates for attendance. . Professional behavior and respect to the presenter will be expected. Anyone demonstrating unprofessional behavior or any form of incivility during the live review may be dismissed from the classroom and not permitted to return Bulletin Boards Nursing bulletin boards are located in the hallway of the second floor of the HS building. The bulletin boards are used to communicate with students, and to present supplemental
54 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM information in the nursing courses. Each time a student is present at the College, he/she is responsible for checking the bulletin board.
Calculators The use of calculators for math computations is determined by the individual course faculty. Please ask the instructor for his/her policy or read the course syllabus for direction. No personal devices (iPhones, androids, etc.) may be used during testing.
Cellular Phones and Pagers Must be turned off while in class, (unless needed for an activity in the classroom) clinical or laboratory. If disruptive to the class, faculty has the right to remove the phone from the student and return it when the session is over.
Change of Address, Phone Number, and/or Name In addition to giving a change of address and/or name to the College Records Office, the student also is requested to give the information to the secretary in the Division of HEALTH AND WELLNESS office suite, room HS 223.
Children in Class Children are not allowed to attend class or College lab. Parents have the responsibility to obtain child care. There is limited childcare available through the Children’s Learning Center LCCC Children's Learning Center
Clinical Performance Evaluation Students must attain an appropriate level of competency to pass a clinical course. All students enrolled in a clinical course will be evaluated, in writing, by their clinical instructor at mid-term and at the end of each course. A conference to discuss the student's performance will be held with the mid-term and final evaluations. Additional conferences to discuss clinical performance may be requested at any time, either by the student or the clinical instructor. Performance in the clinical aspect of each clinical course will be graded as "Satisfactory" or "Unsatisfactory." "Unsatisfactory" performance at mid-term will result in an official deficiency notification (see Deficiencies). "Unsatisfactory" performance at the end of a course will result in course failure regardless of theory grade.
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Clinical Performance Requirements (See Appendix for Attendance and Dress Code Deficiency Point System) Students are expected to:
A. Attend scheduled on-campus orientation sessions for certain agencies. Unless the absence is excused, failure to attend the orientation session will result in a deficiency and/or a notation in the student file.
B. Follow the dress code as defined in the uniform policy of the Nursing Student Handbook. C. Maintain confidentiality regarding all aspects of patient care. D. Obtain a patient assignment and prepare for clinical experience according to the directions given by the clinical instructor(s). If not prepared, the student will receive points and be dismissed from the clinical experience for that day, because safe care of patient needs must be reasonably assured.
E. Communicate personal limitations regarding procedural skills and seek assistance from the instructor.
F. Adhere to policies and procedures of the assigned clinical agency. G. Perform safely in the clinical area. If found to be unsafe, the student may be dismissed from the clinical area and receive an Unsatisfactory (“F”) for the course.
H. In the event the student is unable to perform satisfactorily in the clinical area, they will be:
a) Dismissed from the clinical for the day; sent to the College laboratory with specific instructions for remedial assistance; and receive an unexcused absence. Points will be awarded for that day.
b) Asked to present documentation to the clinical instructor when they return stating satisfactory performance in the College laboratory.
I. The student will be barred from college lab, clinical, or lecture for persistent nonattendance, unsafe clinical practice, and/or the inability to complete assignments that meet the course requirements. Barring will result in an unsatisfactory college lab, clinical or lecture grade resulting in an “F” for the course.
NOTE: Unsafe clinical practice is defined as behavior that places the patient, staff or peer in physical or emotional jeopardy. Physical jeopardy is the risk of causing physical harm while emotional jeopardy means that the student creates an environment of anxiety or distress which puts the patient or family at risk for emotional or psychological harm.
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Clinical: Student Code of Conduct ORC: Chapter 4723 Adhere to the Code of Student Conduct that incorporates the standards for safe nursing care set forth in Chapter 4723 of the Ohio Revised Code and the rules adopted under that chapter, including, but not limited to the following: (1) A student shall, in a complete, accurate, and timely manner, shall report and document nursing assessments, observations, the care provided by the student for the patient, and the patient’s response to that care. (2) A student shall, in an accurate and timely manner, report to the appropriate practitioner errors in or deviations from the current valid order. (3) A student shall not falsify any patient record, or any other document prepared or utilized during, or in conjunction with, nursing practice. This includes, but is not limited to, case management documents or reports, or time records, or reports, and other documents related to billing for nursing services. (4) A student shall implement measures to promote a safe patient environment with each patient; (5) A student shall delineate, establish, and maintain professional boundaries with patients; (6) At all times when a student is providing direct nursing care to a patient the student shall: (a) Provide privacy during examination or treatment and in the care of personal or bodily needs; (b) Treat each patient with courtesy, respect, and with recognition of dignity and individuality. (7) A student shall practice within the appropriate scope of practice as set forth in division (F) of section 4723.01 and division (B)(21) of section 4723.28 of the Revised Code for a practical nurse; (8) A student shall use universal blood and body fluid precautions established by Chapter 4723-20 of the Administrative Code; (9) A student shall not: (a) Engage in behavior that may cause physical, verbal, mental or emotional abuse to a patient or; (b) Engage in behavior toward a patient that may reasonably be interpreted as physical, verbal, mental, or emotional abuse; (10) A student shall not misappropriate a patient’s property, or: (a) Engage in behavior to seek or obtain personal gain at the patient’s expense;
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(b) Engage in behavior that may reasonably be interpreted as behavior to seek or obtain personal gain at the patient’s expense; (c) Engage in behavior that constitutes inappropriate involvement in the patient’s personal relationships; or (d) Engage in behavior that may reasonably be interpreted as inappropriate involvement in the patient’s personal relationships. For the purpose of this paragraph, the patient is always presumed incapable of giving free, full, or informed consent to the behaviors by the student set forth in this paragraph. (11) A student shall not: (a) Engage in sexual conduct with a patient; (b) Engage in conduct in the course of practice that may reasonably be interpreted as sexual; (c) Engage in any verbal behavior that is seductive or sexually demeaning to a patient; (d) Engage in verbal behavior that may reasonably be interpreted as seductive or sexually demeaning to a patient. For the purpose of this paragraph, the patient is always presumed incapable of giving free, full or informed consent to sexual activity with the students. (12) A student shall not, regardless of whether the contact or verbal behavior is consensual, engage with a patient other than the spouse of the student in any of the following: (a) Sexual contact, as defined in section 2907.01 of the Revised Code; (b) Verbal behavior that is sexually demeaning to the patient or may be reasonably interpreted by the patient as sexually demeaning. (13) A student shall not self-administer or otherwise take into the body an dangerous drug, as defined in section 4729.01 of the Revised Code, in any way not in accordance with a legal, valid prescription issued for the student. (14) A student shall not habitually indulge in the use of controlled substances, other habit- forming drugs, or alcohol or other chemical substances to an extent that impairs ability to practice. (15) A student shall not have impairment of the ability to practice according to acceptable and prevailing standards of safe nursing care because of habitual or excessive use of drugs, alcohol, or other chemical substances that impair the ability to practice. (16) A student shall not have impairment of the ability to practice according to acceptable and prevailing standards of safe nursing care because of a physical or mental disability.
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(17) A student shall not assault or cause harm to a patient or deprive a patient of the means to summon assistance. (18) A student shall not misappropriate or attempt to misappropriate money or anything of value by intentional misrepresentation or material deception in the course of practice. (19) A student shall not have been adjudicated by a probate court of being mentally ill or mentally incompetent, unless restored to competency by the court. (20) A student shall not aid and abet a person in that person’s practice of nursing without a license, practice a s a dialysis technician without a certificate issued by the board, or administration of medications as a mediation aide without a certificate issued by the board. (21) A student shall not prescribe any drug or device to perform or induce an abortion, or otherwise perform or induce an abortion. (22) A student shall not assist suicide as defined in section 3795.01 of the Revised Code. (23) A student shall not submit or cause to be submitted any false, misleading or deceptive statements, information, or document to the nursing program, its faculty or preceptors, or to the board. (24) A student shall maintain the confidentiality of patient information. The student shall communicate patient information with other members of the health care team for health care purposes only, shall Advance Placement patient information only for purposes of patient care or for otherwise fulfilling the student’s assigned clinical responsibilities, and shall not disseminate patient information for purposes other than patient care or for otherwise fulfilling the student’s assigned clinical responsibilities through social media texting, emailing or any other form of communication. (25) To the maximum extent feasible identifiable patient health care information shall not be disclosed by a student unless the patient has consented to the disclosure of identifiable patient health care information. A student shall report individually identifiable patient information without written consent in limited circumstance only and in accordance with an authorized law, rule, or other recognized legal authority. (26) For purposes of paragraphs (C)(5), (C)(6), (C)(9), (C)(10), (C)(11) and (C)(12) of this rule, a student shall not use social media, texting, emailing, or other forms of communication with, or about a patient, for non-health care purposes or for purposes other than fulfilling the student's assigned clinical responsibilities
Code of Conduct/Professionalism Nursing students are expected to maintain a professional manner and appearance. Courtesy and consideration for others are qualities to be exhibited by the students. Punctuality, attentiveness, patience, respect and cooperation are all part of professional conduct. See Student Handbook for Dress Code Policy.
Responsibility relates very specifically to the main objective of the program, which is quality and ethical patient care in any setting.
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Regarding academic responsibility, the student is responsible for assignments and completing all required tasks related to stated outcomes. Health care depends upon professional ethics. The nursing faculty emphasizes that attitudes and actions reflect the student's professional ethics Students recognizing unacceptable behavior by another student should not allow the behavior to continue without appropriately addressing the situation. Refer to College Catalogue for Code of Student Conduct and College policy Student Responsibility Students are expected to adhere to the College ADN program and clinical agencies' policies regarding conduct as well as the Code of Ethics for the Registered Nurse. Students are also expected to adhere to Academic Integrity Policy and to maintain confidentiality. While providing nursing care, students will adhere to the standards of safe nursing practice as defined by 4723-4-06 of the Rules for Practicing Nursing of the Ohio Administrative Code. Students will take responsibility to arrange dependable transportation, baby sitting and work schedules to allow successful completion of the program.
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College Lab Rules and Policies Lorain County Community College Clinical Learning Center (Nursing Lab) Policies Phone extension: College extension 7177 or 440-366-7177 It is the responsibility of ALL nursing students to adhere to the policies of the nursing lab as written in the Student Handbook. Failure to comply with Lab Policy and Procedures will result in points assigned per the LCCC Nursing Lab Deficiency Points System and the student may also be subject to disciplinary action per the Student Code of Conduct if applicable. Any student that acquires 10 or more points in the Lab will fail the lab course as well as the associated theory course.
Students in the clinical area are expected to be knowledgeable about the nursing skills required in the care of their assigned patients. In order to assist the student to become prepared for clinical functioning, a well-equipped nursing laboratory is maintained on the LCCC campus, in the Health Sciences building, room 108 or room 103. Students can work with a college laboratory instructional assistant and independently to develop their skills. Students may practice procedures during posted open laboratory times during the week in the College laboratory. Prior to the performance of a nursing skill with a patient in the clinical area, a student must satisfactorily demonstrate the knowledge and ability to perform the skill to a College laboratory instructional assistant. Therefore, each student will be scheduled for an appointment for the demonstration of nursing skills taught in each course.
Hours are posted for the semester on the door of the College laboratory (HS 108). They are also posted in CANVAS under Nursing Student Resource Site. Theory instructors are notified of the student progress in the College lab on a regular basis. Dress Code for ALL lab experiences • Clean white lab coats with school patch on left arm • Student ID must be worn to all lab and practice sessions • Clothing below the waist must be longer in length then lab coat and no skin showing when student bends over • No bare midriffs • Tops must not show cleavage • No torn or ripped jeans • No open toe shoes – Lab safety
Attendance
• Students are expected to attend all lab weekly classes as scheduled • Tardiness or leaving early will result in deficiency points being assigned • Students may be required to attend an alternative lab date/time if their scheduled lab falls on a legal holiday in which the campus is closed. Lead faculty will communicate any changes to lab scheduling • Make-up assignments may be assigned in select lab/sim courses
Lab Absence
• Students must notify their assigned Lab Instructor of absence BEFORE the start of their scheduled class
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• Students are not permitted to make up missed labs in another course section unless prior approval is obtained from lead course faculty • It is the STUDENT’S responsibility to obtain missed content from a peer • Assignments/activities missed on the day of absence MUST be completed and submitted within one week • If a new skill was introduced on the day of absence the STUDENT is required to sign up for a 1:1 appointment with an Open Lab Instructor for skill instruction for a minimum of 30 mins and allow an additional 30 mins for independent practice to follow. (A total of 1 hour). Documentation (Mandatory Lab Practice Form) is required to attend next scheduled lab day to avoid additional points being assigned for unpreparedness • Students MUST bring own supplies to all Open Lab appointments. All content areas such as readings and videos must be completed BEFORE scheduled instructional appointments.
Electronic Devices/Cell Phones
• NO videotaping is permitted in the Nursing Lab under any circumstance. • Audio taping is ONLY permissible with direct permission from the lab instructor. Audio taping is NOT permitted during simulations or during debriefing sessions • Electronic devices are NOT to be seen or used during class time unless directed to do so by the instructor for a designated activity
Videotaping In Lab Faculty may be videotaping in the lab for educational purposes only
Check-offs
• Students will have up to 20 minutes to perform each required skill check-off • Students must perform all skills according to the skill check-off form in a safe and competent manner • Size of syringe selected should be close in capacity to the dosage amount ordered and sized for the recommended route and site for safe administration of the medication • Number of check-off attempts vary by program/course. Please refer to your specific program’s point system for more details
Unsuccessful check-off
• Student will sign up for 1:1 mandatory practice with an open lab instructor for minimum 20 mins • Mandatory practice MUST be completed within one week of unsuccessful check-off • Mandatory Practice Form must be presented to the open lab instructor and signed at the end of the scheduled session. • Mandatory Practice Form is required to be eligible to repeat check-off • Mandatory practice CAN be done on the day of the unsuccessful check off
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• Mandatory practice CANNOT be done on the day of the scheduled repeat check-off • On the day of check-off instructors are only permitted to observe and answer minor questions. Formal or intensive instruction is NOT permitted on day of testing • Students CANNOT repeat their skill checkoff on the same day they were unsuccessful • The student is responsible for scheduling all lab practice and make-up testing appointments.
Repeat Check-off
• Two Lab instructors will be present for all final skill check-off attempts • A final unsuccessful attempt of a same skill will result in both lab and course failure
General Lab Rules
• No children or other family/friends allowed in the nursing lab • No food allowed in the lab • Drinks are permitted at the lab classroom tables only. All beverages MUST have a lid. • Students are responsible to purchase and bring supply tote to each class as indicated
Computer Laboratory Computers are available for use by all nursing students in the Learning Resource Center.
Confidentiality Students must adhere to all Health Insurance Portability & Privacy Act (HIPPA) Guidelines. It is imperative that the student maintain confidentiality regarding all aspects of patient care. This includes discussing patients in public areas (elevators, cafeteria, restrooms) in the hospital, and talking about patients outside of the hospital. This also includes any communication about patients using electronic devices (pictures on Facebook, etc). Breech of this will result in failure of course. It also involves not discussing the patient's physician, the patient's personal life, or even acknowledging that a person is a patient or under medical care. Students should realize that violation of the above can result in being dismissed form this program, and possible lawsuits. Some agencies will request that you sign a statement of confidentiality at the onset of your rotation. Electronic Device Policy The use of handheld electronic devices will be permitted for reference and research of material. The policy does not include the use of electronic devices or cell phones for personal use during clinical or classroom times. Violating the use of such devices could result in the electronic device being confiscated. Students bringing personal electronic devices to school are responsible for their storage and safety. Violation of the policy is academic misconduct or non-academic misconduct and is grounds for dismissal from the nursing program.
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• Using cell phones or other electronic devices to personal text message, audio or videotape, or take photos is strictly prohibited during class, campus lab, and clinical time. Audiotaping may be permissible with the instructor’s permission. • HIPPA violations using social media are strictly prohibited unless written permission is received from all people involved. • Taking photos or making audio or video recordings of clients is strictly prohibited and may be subject to legal sanctions. • Using electronic devices to transmit & record images or conversations without explicit written permission & acknowledgement of all parties is strictly prohibited. • Every effort should be made by the student to minimize noises from electronic devices as a courtesy to the instructor, other students, patients, families, & staff. • Student cell phones and pagers must be turned off during class and campus lab times. Cell phone use may be permitted in certain circumstances at the direction or permission of the instructor.
Email Communication Lorain County Community College assigns LCCC email accounts to all student enrolled in credit courses. Be sure to check your email often as student email is the official form of communication from LCCC. This is the email that faculty and/or staff will use to communicate with you and personal email will not be used. Students are responsible to check their LCCC email on a daily basis for any updates on the nursing program. No postal mailings will be done. Faculty will respond to student emails Monday through Friday, within 24-48 hours of receiving the email. It is at the discretion of the faculty to respond after 5pm and on weekends and holidays. Effective 8-1-2015: Faculty and staff will not respond to personal email addresses. Only LCCC email addresses will be used. This is to maintain student confidentiality/FERPA.
Emergencies on Campus Procedures are posted in each building as well as emergency phones in hallways. As part of our ongoing efforts to enhance safety and security on all of our campuses, LCCC sends emergency notifications to students using Rave Mobile Safety. Rave allows us to send you emergency text messages and emails through the Rave Alert software. For more information on the app and how to download, go to LCCC web information on Rave Alert Campus security can be reached at ext. 4444 or 4053. (440-366-4053 from off campus phone). They can also be reached at “0” from a campus phone.
Emergency Calls Any student who anticipates a call or calls of an emergency nature (illness in the family, etc.) is requested to give his/her complete schedule to the Division of HEALTH AND WELLNESS secretary. Much valuable time is lost when checking to see if a student is in a classroom at the College, or in a clinical agency. Student whereabouts will not be given out to emergency callers. Messages will be relayed only.
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Evaluation of Program by Students Each semester students may be offered the opportunity to evaluate each nursing course, clinical, lab and/or instructor. Students will also be able to evaluate their clinical agency and the resources provided to them in each nursing course. During the last semesters students will be offered the opportunity to evaluate the program and then again six months and twelve months after graduation. Student representatives are also invited to faculty meetings each semester. Please contact nursing faculty for a list of dates and times of faculty meetings.
Evaluation of Student by Faculty All students enrolled in a clinical nursing course will be evaluated, in writing, by their clinical instructor at midterm and at the end of each course. A conference to discuss the student's performance will be held with the midterm and/or final evaluation. Additional conferences to discuss clinical performance may be requested at any time, either by the student or the clinical instructor.
Grievance Policy The nursing program follows the college grievance policy located on the college website.
Inclement Weather (Closing of College) When classes on the Lorain County Community College campus are canceled, and the College is closed because of inclement weather, all clinicals scheduled will be held at the discretion of the clinical instructor. Announcements about Lorain County Community College closing are made through the following radio stations: WBEA (Elyria) 107.3 FM WLKR (Norwalk) 1510 AM WEOL (Elyria) 93 AM WLKR (Norwalk) 95.3 FM WRKG (Lorain) 1380 AM WMMS (Cleveland) 100.7 FM WZLE (Lorain) 104.9 FM WGAR (Cleveland) 1220 AM WOBL (Oberlin) 1570 AM WWWE (Cleveland) 1100 AM Announcements also are transmitted on the United Press International wire which serves all AM, FM and TV stations in the northeast Ohio area. Also you can sign up to get emergency messages from LCCC sent directly to your mobile phone. There is no charge from LCCC for this service, but normal text-messaging charges from your cell carrier will apply. Go to the text alert registration page and complete the information on the sign-up screen.
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Information Gathering in Agency Prior to Clinical Practice 1. Information may be gathered the day prior to clinical experience during the hours of 1:00 p.m. - 10:00 p.m., or as arranged by the agency or instructor. 2. Information may also be gathered two hours prior to the start of clinical experience at designated clinical agencies, if approved by the instructor and agency. 3. Information gathering is to be limited to charts, texts, and procedure books. Do not interfere with unit personnel. 4. There is to be no patient contact prior to one-half hour before the beginning of clinical experience. No children permitted in the clinical setting while students are prepping for clinicals. 5. Compliance with the uniform policy while gathering information is mandatory. Students must wear their college I badge, lab coat and casual dress attire during this clinical prep time.
6. Personal cellular phones are not permitted to be used in the clinical agencies.
Late Test Taking Policy If unable to take an examination as scheduled, the student must notify the instructor within 24 hours before or after the scheduled exam time. After notification, a make-up test will be scheduled at a time mutually agreeable to instructor and student. The make-up test may be in a different format. A 10% grade reduction will be given automatically for a test given after the original scheduled date.
Latex Allergy Guidelines If reasonable modification cannot eliminate the reactions to latex, the student may be verbally counseled to consider other career pathways. Lorain Community College will not be responsible or liable for any student reactions/allergies to any forms of latex products.
Lines of Communication "I have a question--to whom do I go? How do I contact them?" In the Division of Health and Wellness there is a line of communication the students are expected to utilize when attempting to solve problems, offer suggestions, complain, get questions answered, etc. A “Student Concern Progression Plan” (found in the appendix section of this handbook) is to be completed at each level as appropriate. This line of communication begins with the student's instructor and proceeds as follows until the situation is resolved or the question is answered:
Clinical/Laboratory/Lecture Instructor (Per specific course)
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Course Coordinator for Nursing Course (Deborah Brown, MSN, RN ) Nursing Programs Administrator (Mary Grady, DNP, RN, CNE, CHSE) Dean, Division of Health and Wellness (Monique Norfus, MBA)
All faculty members have posted office hours indicating when they are available to students on a walk-in basis. In addition, faculty will schedule appointments for times outside their regular office hours. To make appointments to see instructors, contact them in person. Students are expected to follow a certain line of communication. If at any time it is found that a student has contacted a person higher in the line of communication (i.e., Nursing Program Director) without having first talked with persons mentioned previously (i.e., theory instructor), students should expect that they will be sent back to talk with the person bypassed.
Full-time faculty, professional practice clinicians (PPCs) and telephone extension numbers on campus:
Faculty Phone Email Position Ms. Renee Bell 440-366-7174 [email protected] Lab Coordinator-Main Campus Dr. Nanci Berman 440-366-7180 [email protected] NURS 122/221//226 Ms. Deborah Brown 440-366-7193 [email protected] LPN Program Coordinator Ms. Marianne Carvour 440-366-7122 [email protected] Professional Practice Clinician Dr. Mary Grady 440-366-4177 [email protected] Nursing Programs Administrator Dr. Phyllis Higley 440-366-7161 [email protected] NURS 224 Dr. Karen Joris 440-366-7156 [email protected] NURS 120/138/Paramedic-RN Coordinator, 130/119/132/133 Dr. Donna Lupinski 440-366-7153 [email protected] NURS 221/NURS 223/LPN ADVANCE PLACEMENT Coordinator Dr. Hope Moon 440-366-7186 [email protected] FBGSU coordinator, Faculty
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Faculty Phone Email Position Dr. Debra 440-366-7148 [email protected] NURS 120, 124 O’Shaughnessy du Dr. Tracy Parson 440-366-7111 tparson@ lorainccc.edu NURS 123/222 Ms. Hannah Patawaran 440-366-7162 [email protected] NURS 116 Dr. Judy Pulito 440-366-7173 [email protected] NURS 225 Ms. Louise Reed 440-366-7158 [email protected] Professional Practice Clinician, Clinical Coordinator Dr. Cheryl Shultz 440-366-7154 [email protected] Professional Practice Clinician Ms. Christine Taylor 440-366-7181 [email protected] Professional Practice Clinician Ms. Tammie Ferguson 419-372-0688 [email protected] Professional Practice Clinician Ms. Leslie Shull [email protected] Retention Specialist
Math Policy The assigned textbook to be used for drug and dosage calculations in the Practical Nursing Program is the most current edition of Olsen, Dimensional Analysis. This will be the main emphasis for PRNS 110, however there will be math questions throughout the program, using the information in this text. All students will be encouraged to utilize the Academic Support Center, College Lab assistants, and clinical faculty for help. Computer aided instructional programs are available in the library to facilitate student success. Each nursing course associated with a clinical or college laboratory will incorporate math concepts and principles into the theory component of the course. In each course, this will require the instructor to identify the chapters in the math for meds text and give examples of the problems the student will be expected to calculate eon the tests during the semester. PRNS 110- Measurement conversions including liters, meters and pounds. Fundamental Math for Meds required to begin administering medications including calculating IV flow rate and infusion times. PRNS 111- Fundamental concepts including administering medications via oral, inhalation, rectal, transdermal, eye/ear, parenteral, and IV flow rates. PRNS 112- Calculations required to safely administer medications, including IV flow rates. PRNS 116- Medications pertaining to mother and newborn during maternity course.
PRNS 118- Medication administration to pediatric patients including weight based dosages.
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PRNS 120- Capstone course – includes any calculation from the Math for Meds text.
Math Rules for Success (Must be followed throughout the program)
1. Answers must always have a zero in front of the decimal that is less than a whole number or it will be marked incorrect. Correct = 0.5 mg Incorrect = .5 mg
2. No trailing zeros will be used. Any answer including a trailing zero will be marked incorrect. Correct = 2 mg Incorrect = 2.0 mg
3. Drops (gtt) per minute problems will only be correct if final answer is given as whole number Round final answer up to the larger whole number if problem contains a number 0.5 and above Example: 22.6 would be rounded to 23 gtt/min
Round final answer down to the smaller whole number if problem contains a number below 0.5 Example: 20.4 would be rounded to 20 gtt/min
4. The terms gravity drip and infusion pump will be used to describe the method of IV infusion Infusions via gravity drip are calculated in gtt/ min. Infusion pumps are calculated in mL/hr
5. Rounding rules Round the final answer at the end of the problem and not during the various steps of the problem leading up to the final answer. • When final answer is a weight (usually in kg). Round one decimal place o Example: 72.4 kg
• Exam and quiz questions will provide direction on how to round the final answer, including questions involving medications that are administered by infusion pump (mL/hr) or injection (mL’s).
o Example: Final answer for math calculation is 3.1432
If directed to round “To the whole number” = 3 ml/hr If directed to round “One decimal place” = 3.1 ml/hr If directed to round “Two decimal places” = 3.14 ml/hr
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• For instances where rounding directions are not provided, rounding should be as follows: o Round to the decimal place appropriate for the medication delivery system or syringe size to be used o Round to two decimals if the amount is less than one mL
• Time is answered in hours and minutes. Completion time is in military time.
Example problem results in Infusion time of 6.46 hours
60 0.46 hours x min = 27.6 mins rounds to 28 mins. Answer 6 hours and 1 hour 28 mins
If infusion started at 0925 the infusion would be complete at 1553.
6. The faculty will use only realistic drug amounts found in current drug books when a drug is used by name in a particular dosage problem.
7. Students must give answer to problems on quizzes or exams in the space marked answer or if this is not provided, they will circle all answers.
8. Students need to show their work or math problems will be marked incorrect. When computerized testing is utilized, the unit of measure for math problems will be provided. Students will enter only their final numeric answer as a fill in the blank response.
9. Please note that the LCCC Nursing Program will not teach or test the student with any problems pertaining to the units of grains, drams or minims.
10. Military time is the only acceptable form of time with testing. All answers reported in time must be provided in military time.
11. All faculty and students will abide by the math rule sheet for success in dosage calculations.
Parking Fees for Clinical Some clinical facilities assess the students a monetary fee for parking and I.D. badges. I.D. badges must be returned when the clinical rotation of completed, or a fee may be charged to the student. Neither the college or faculty will assume any responsibility for any parking fees that occur during a clinical rotation. The student is responsible for all fees accrued.
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Physical Contact Policy The student should understand that during the program, they will work with other students. This may require touching of each other in a professional manner. They will also be learning and practicing with equipment that carries some potential for discomfort or injury if improperly used. If at any time for any reason during class, a clinical or lab session when a student is practicing a skill, or another student or faculty is practicing a skill, the student may verbalize unwillingness to participate, and the person will cease what they are doing. This will allow students to retain complete control over any situation.
Pandemic/Influenza Policies The following amendments to nursing program polices are in effect for sections listed below. These and other nursing program policies may be revised at any time due to evolving national, state, local and college guidelines. Students will be notified in writing of any changes that must be made.
Addendum during Covid pandemic:
Lorain County Community College COVID Nursing Laboratory/Simulation/Clinical Guidelines
Part One: Self-Assessment
A. Nursing Students are responsible for checking their temperature before leaving home to attend Nursing Laboratory/Simulation/Clinical. Do not leave home to attend if you have a fever of equal to greater to 100.4 degrees Fahrenheit.
B. In order to keep our LCCC community healthy and COVID free PLEASE refrain from attending any classes/clinical if you are sick or think you may have COVID-19. COVID-19 symptoms include, but are not limited to:
• Fever or chills • Cough • Shortness of breath or difficulty breathing • Fatigue • Muscle or body aches • Headache • New loss of taste or smell • Sore throat • Congestion or runny nose • Nausea or vomiting • Diarrhea
C. If you believe you might have COVID-19 like symptoms or have had a known exposure please self-report at COVID Self-Reporting Form
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D. Please report all absences to your lead course faculty, laboratory, and clinical instructors through CANVAS. Your instructors will contact you regarding any necessary make-up work.
Part Two: Nursing Laboratory/Simulation Procedures
A. All in-person laboratory/simulation classes will be treated as a clinical environment.
• Nursing students and faculty must wear a medical grade facemask and face shield in the nursing and simulation laboratories, including all spaces where they might encounter others. Cloth face coverings are not considered PPE because their capability to protect the healthcare provider is unknown. • The use of medical grade PPE will reduce and/or eliminate the need to quarantine students/instructors and allow in-person instruction to continue. B. Laboratory/Simulation Setting Protocols
• Approved procedural masks will be issued at the beginning of the course session • Face shield will be issued (student may provide own if preferred) • Failure to bring personal protective equipment (PPE) to class will result in deficiency points for not being prepared. Student will not be permitted to attend class. Additional deficiency points will be given for absence. • Social distancing protocols will be maintained while in the laboratory/simulation settings
Part 3: Clinical Setting
• Students are required to maintain the clinical agency’s PPE requirements at all time. • PPE will be provided per agency policy or as agreed upon with LCCC • Failure to comply with PPE requirements and social distancing at lunch and break time will result in clinical deficiency points.
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Exposure in the Nursing Laboratory/Simulation/Clinical Setting: See Table EXPOSURE PPE USED RESTRICTIONS
Scenario 1: Medical grade facemask Exclude from clinical and lab for 14 not worn in presence days after last exposure Student/Faculty who had of COVID-19 confirmed prolonged close contact person Monitor self for symptoms of with a confirmed COVID- COVID-19 19 individual Eye protection not worn while working Contact a healthcare provider if with a COVID-19 fever or symptoms COVID-19 person who was not present. wearing a cloth mask or facemask Self-report COVID Self-Reporting Form
Scenario 2: Medical grade facemask No restrictions worn in presence of Student/Faculty who had COVID-19 confirmed Continue to self-monitor for prolonged close contact person COVID-19 symptoms with a confirmed COVID- 19 individual Eye protection worn If fever or symptoms develop while working with a immediately self-isolate and COVID-19 person who contact healthcare provider for was not wearing a cloth testing mask or facemask Do not come to campus
Scenario 3: Medical grade facemask Exclude from clinical and lab for 14 not worn for greater days after last exposure Student/Faculty who had than 15 minutes in prolonged close contact presence of individual Monitor self for symptoms of with an asymptomatic in a 24-hour period COVID-19 person in clinical or before individual tested laboratory setting who positive or developed Contact a healthcare provider if later develops symptoms symptoms of COVID-19 fever or symptoms COVID-19 or tests positive for present.
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EXPOSURE PPE USED RESTRICTIONS COVID-19 in the next 2 Eye protection not Self-report COVID Self-Reporting days worn and individual Form later COVID positive This type of exposure can was not wearing a mask occur during lunch, breaks, and study groups
Scenario 4: Medical grade facemask No restrictions worn or exposure was Student/Faculty who had less than 15 mins Continue to self-monitor for prolonged close contact without a mask and COVID-19 symptoms with an asymptomatic social distance person in clinical or maintained If fever or symptoms develop laboratory setting who immediately self-isolate and later develops symptoms Eye protection worn contact healthcare provider for or tests positive for and individual later testing COVID-19 in the next 2 COVID positive was not days wearing a mask
This type of exposure can occur during lunch, breaks, and study groups
When to quarantine: Exposure Outside of School
If known exposure to a COVID positive “close contact”: At home or in a community setting (non-medical setting)
Close contact is defined as:
• Exposure to an individual who lives in your home who are positive • You provided care at home to someone who is sick with COVID-19 • You had direct physical contact with the person (hugged or kissed them) • You shared eating or drinking utensils
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• They sneezed, coughed, or somehow got respiratory droplets on you • You were within 6 feet of someone who has COVID-19 for a total of 15 minutes or more during a 24-hour period starting 2 days before COVID testing in the asymptomatic person or a patient having symptoms
If you have tested positive to COVID-19
Complete LCCC self-reporting form and follow LCCC college policy for return to school on the LCCC COVID-19 Dashboard
COVID Self-Reporting Form
\original policy : 12/1/2020
Recommendations for Cleaning and Disinfection of Disposable Face Shields:
1. While wearing gloves, carefully wipe the inside, followed by the outside of the face shield or goggles using a clean cloth saturated and neutral detergent solution or cleaner wipe. 2. Carefully wipe the outside of the face shield or goggles using a wipe or clean cloth saturated with EPA-registered hospital disinfectant solution*. 3. Wipe the outside of face shield or goggles with clean water or alcohol to remove residue 4. Fully dry (air dry or use clean absorbent towel) 5. Remove gloves and perform hand hygiene. CDC Eye Protection
*Recommended Disinfectants as Deemed Appropriate by the CDC
• Alcohol solutions with at least 70% alcohol (must sit for 1 minute) • Lysol all-purpose cleaner or disinfecting wipes • Bleach solutions diluted (1/3 cup bleach per 1-gallon water) Solution must sit for a minimum of 1 minute on surface. Bleach mix must be changed every 24 hours. • Other disinfectants noted on the List-N: Disinfectants for use against SARS- CoV-2 EPA List of Disinfectants
Clinical Experience Requirements
Clinical experiences may be assigned in a remote format as determined by the Nursing Program Director. This may occur as a result of college and/or clinical facility restrictions for on-site student participation due to public health crises or other circumstances. Clinical experiences that cannot be completed in a remote format may necessitate modifications to student progression in the Nursing Program.
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Nursing Learning Laboratory, Simulation, Competency Testing, Face-to-Face Interactions
Current national, state, local, and/or college ordered public health guidelines will be adhered to in these areas, which may necessitate use of appropriate personal protective equipment, social distancing, remote learning and postponement of skill acquisition and evaluation. Students may be required to attend laboratory experiences outside of normally scheduled class time including remote laboratory experiences. Inability of the student to comply with laboratory attendance and participation may impact student progression in the Nursing Program.
Policy Changes The Nursing Department faculty at Lorain County Community College reserves the right to make changes in the policies and procedures in this handbook, with the exception of policies related to progression or requirements for completion of the program for currently enrolled students. Students with questions concerning any of the policies should consult with the Nursing Programs Administrator. Policy changes will be communicated to students in the following ways:
1. At the beginning of each fall semester the updated Nursing Student Handbook will be placed on the Nursing Student Information page on LCCC website, Nursing Student Resource Site on Canvas, and each nursing course on Canvas.
2. An email notification will be sent to all students notifying them of any policy changes that occur during the semester outside of the handbook.
3. All changes will be incorporated into the Practical Nursing Student Handbook every summer for the upcoming year.
Preceptor Policy The preceptor experience is offered in PRNS 120, the last semester of the Practical Nursing Program, during the capstone clinical experience at area nursing home and/or rehab facilities. Students follow the schedule of the preceptor to fulfill the required hours for the course. Students inform the faculty of their schedule. When a student has limited experience with a given skill, it is her/his responsibility to inform the preceptor. Faculty is available to students and preceptors via cell phone.
The faculty in collaboration with the agency’s supervisory personnel has the responsibility to select the nurse preceptors. Regulations of the Ohio Board of Nursing are followed for this selection. It is not the student’s responsibility to recruit preceptors from agencies where they want to be placed. The faculty orients the preceptors to their responsibilities and the course objectives. The faculty is always available for students and preceptors via cell phone. The evaluation of the student is the faculty’s responsibility. This process is accomplished by the preceptors’ weekly feedback, the students’ self-evaluations and written assignments, and the instructors’ site visits.
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The criteria for the selection of a preceptor, the role of the preceptor, of the student and of the instructor are furthered delineated in the syllabus of PRNS 120.. Student Concerns/Complaints (Procedure) In order to provide students and faculty a method to clearly communicate a concern, discuss the concern, and provide documentation of the discussion, the following policy and communication form has been adopted and implemented by the nursing faculty of Lorain County Community College. (See Appendix for Student Concern form)
1. If a student wishes to speak to a faculty member regarding a concern in class, lab, or clinical, they must first speak with them within 7 business days of the incident/situation. This discussion will be documented in Step 1 on the Student Concern Progression Plan.
2. If the student wishes to discuss this concern further with the Practical Nursing Program Coordinator, after speaking with the faculty member, the student will arrange an appointment with the Practical Nursing Program Coordinator. The faculty member will forward a copy of the Student Concern Progression Plan to the Coordinator. After discussing the student’s concern, the Coordinator will document on the Progression form.
3. If the student wishes to discuss this concern further with the Nursing Programs Administrator, after speaking with the Practical Nursing Program Coordinator, the student will arrange an appointment with the Nursing Programs Administrator. The Practical Nursing Program Coordinator will forward a copy of the Student Concern Progression Plan to the Administrator. After discussing the student’s concern, the Administrator will document on the Progression form. 4. If the student wishes to discuss the concern further with the Dean of HEALTH AND WELLNESS, the same steps will be followed as noted in part 3.
Student Records
• Graduate records are retained for three years.
• Students are required to keep the College Records Office and secretary in the Division of Health and Wellness informed regarding any changes in address or phone number.
• Student educational records, with certain exceptions, will not be released without prior student consent
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Student Responsibilities A commitment to a profession entails more responsibilities than rights. A profession implies responsibility for and service to others. Identification of student responsibilities will enhance my active contribution to the chosen profession of nursing. Students are responsible for: A. Knowledge of the line of authority and communication at Lorain County Community College in the Practical Nursing Program. B.Maintenance of confidentiality where appropriate and indicated. C. Development of dialogue through formal communication within the Practical Nursing Program. D. Knowledge of the range of student, professional, scholarly, cultural, social and religious activities available at Lorain County Community College and in the community. E. Utilization of appropriate advisement and counseling services. F. Maintenance of student’s own records--completeness, periodic review, initiating changes, following protocol for release, extension, and sharing; including health forms, clinical evaluations, anecdotal records, etc. G.Protection of the College and clinical agencies property. H. Evaluating services, faculty, program, and agencies.
Student Responsibility Regarding Confidentiality It is imperative that the student maintain confidentiality regarding all aspects of patient care. This includes talking about patients in public areas (elevators, cafeteria, and restrooms) in the agency and talking about patients outside of the educational setting (home, with family members or friends, etc.) This confidentiality also involves not discussing the patient's physician, the patient's personal life, or even acknowledging that a person is a patient or under medical care. Students must adhere to HIPPA Guidelines. Students should realize that violation of the above can result in being dismissed from this program, and/or possible litigation.
Taping of Lectures, Phone calls, or Webex meetings Taping of lectures, labs, phone class with instructors, Webex meetings of any kind, or type of class presentation should not occur without first securing the consent of the instructor. Taping may not be permitted in some nursing courses due to the confidential matter(s) being discussed.
Textbooks and Syllabus
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Use of textbooks are required in the nursing Courses. See individual course syllabi for listing of course textbooks
Lorain County Community College Nursing Program Testing Policy
Nursing program examinations will be based on course concepts as well as concepts from previous courses, applied to the setting of the currently enrolled course, in order to prepare students for the NCLEX examination. The nursing faculty is committed to maintaining a testing environment that respects the rights of others and upholds the integrity of the test. Exam questions will include material learned in classroom instruction, assigned reading material, and college laboratory procedures
On examination days:
a.) No student will be permitted to enter the room once test code has been provided and test initiated. b.) If a student is found to have their cell phone on or is using the cell phone or any other electronic device, the student will receive a zero for the test or quiz and the student will be asked to leave the classroom for the testing period. A code of conduct violation will be initiated. c.) All student possessions (backpacks, cell-phones, watches, water bottles, hats, scarves, etc.) must be left in the front or back of the room. d.) The student may have nothing, but a pencil and scrap paper provided by instructor. All scrap paper must be submitted to instructor at the end of the exam with the student’s name on it. e.) Only standard noise-reducing earplugs may be worn and must be presented to the faculty and approved before the test. f.) No breaks will be permitted during examinations or quizzes. If a student leaves the room they forfeit the exam. g.) Students will not be permitted to leave their seat, or leave the exam room during examination.
Computer Testing: a.) The desktop and computer device must be free of any non-testing related materials. b.) No additional erasers or highlighters are permitted. c.) The drop down calculator is provided within the computerized testing. d.) Students are required to bring their own charged laptop or iPad to class on the day of an exam. Exam soft downloads must be done prior to the start of the exam. If the exam is not downloaded prior to the scheduled test time the student will have to take the exam (or an alternate format exam of the content) at a later date and 10 % will be deducted from exam score. e.) Computerized exams must be uploaded upon exam completion and before leaving the testing area.
79 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM f.) Students are required to make sure their electronic device meets the requirements needed for Exam Soft (see list of requirements in student handbook). g.) All courses in the Practical Nursing Program will allow backward navigation on computerized exams. It should be noted that ATI proctored exams will not allow backward navigation since this test is to prepare students for the NCLEX.
Exam Absence a.) If a student is unable to take an examination as scheduled, the student must notify the instructor within 24 hours before or after the scheduled exam. Failure to notify the instructor will result in a zero for the missed test. b.) All missed tests, exams, or quizzes must be completed within seven (7) calendar days from the date scheduled in the Testing Center located in College Center CC223. The make-up test may be presented in a different format than the original test. c.) All make-up exam grades will be reduced by 10%. Students will have the option of taking exams earlier without penalty in extenuating circumstances, as determined by the instructor.
Post Exam Protocols:
a.) After the testing session, students must refrain from discussing the content of examinations, quizzes and competency evaluations with other students, except during a faculty led exam review. There will be no immediate discussion of questions between faculty and students. b.) Students are not to call or e-mail instructor requesting grades. Instructors will post grades once exams have been reviewed and results analyzed. c.) Test results will be available in the on-line gradebook within one week of the exam. Tests can be reviewed with the instructor for a time period of 7 calendar days after the exam or at the discretion of the course instructor. d.) All students earning less than 78% on an exam are encouraged to make an appointment with faculty to review the exam. e.) Faculty office hours are posted and are for discussion of student progress, problems, and or grades. Students may make an appointment with their instructor
WEB- EX testing and exam review protocols will be provided in specific Canvas courses per instructor. Web Ex testing on Exam Soft will be adhered to as follows: no backward navigation, 1 minute per each multiple choice and fill in the answer questions, essay and short answer 2 minutes per a question and math will be 1.5 minutes per a question. For online testing, students must have the WebEx application on their cell phone. Students are to enter the web ex meeting on their cell phone. On prompting of the instructor, student must show their testing space to the instructor via the phone camera. Testing space must be completely free from anything except their computer and a scrap piece of paper. Scrap piece of paper must also be shown to the instructor. The student may proceed to begin the test on examsoftt on their computer once the instructor gives approval to proceed. The
80 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM student will be monitored on webex during the course of the exam. At the end of the exam, the student must alert the instructor and show the scrap paper being destroyed.
Uniform Policy - Nursing A. UNIFORM At all times, attire is clean, reflective of high professional standards, and has proper fit and length. Students may be dismissed from the clinical experience if in violation of the following rules. 1. Approved uniform purchased in LCCC Bookstore. (White top with LCCC patch/white pants) 2. Clothing must be of appropriate weight and fit so that underwear is not visible through uniform. 3. White or neutral underwear (no thongs). 4. Shoes: All white, no heels, tie or slip-on, closed heel and toe. No clogs, sandals or canvas shoes. Low top white leather athletic shoes are appropriate as long as they are non-permeable. 5. Hose: White or skin colored. No socks over cuffs of uniform pants. Skin must be covered (must go over ankles and up lower leg; no exposed skin is permitted around top of shoes). 6. Sweaters: White only. May not be worn while in direct contact with patients. 7. Laboratory jackets with the school emblem-must be purchased through LCCC Bookstore. May be worn in the clinical area at the discretion of agency policy. Also must be worn in the college laboratory. 8. Psychiatric Experience, Obstetrics, Geriatrics, and Pediatrics: Specific directions regarding uniforms or dress will be given by instructor and will coincide with agency policy. B. PIERCINGS Jewelry is to be simple and unobtrusive with attention paid to personal and patient safety. No visible body or facial piercings are allowed including tongue, nose or eyebrow. 1. Earrings: None unless ears are pierced, then plain, small post-type earrings. No hoops or large earrings. A maximum of (2) earrings per ear. Any other visible pierce jewelry (i.e. bars, nose rings) is not permitted including implanted body art. No gauges are permitted. 2. Rings: Wearing of engagement or wedding rings is permitted but is highly discouraged. Rings must be removed when scrubbing or performing special procedures. No other rings are permitted. C. TATTOOS Tattoos in excess or visible (e.g. arms, neck, hands, fingers) are unacceptable in a professional environment. All tattoos must be covered in the clinical area. D. HYGIENE
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1. Hair should be clean, neat, well-groomed and pulled back away from face so that it does not interfere with patient care. Hair longer than shoulder length should be secured. Hair Advance Placementories - discrete, white or neutral. Faddish hair color (e.g. bright green, red, blue, pink, purple) is unacceptable and not permitted. Beards and mustaches must be neatly trimmed, not cause a hazard to student's work and conform to agency policy. Long beards are unacceptable as they may interfere with patient care. If a student is assigned to a facility that requires a N95, the student may be asked to remove facial hair for proper fitting of the N95 mask. 2. Makeup is to appear natural and conservative. No body or facial glitter is allowed. 3. Nails must not extend beyond 1/8 inch of the fingertip. Clear or natural nail polish may be worn, but not chipped. No artificial nails. 4. A clean uniform is to be worn each clinical day. 5. Shoes must be kept polished and have clean shoelaces. 6. Use of antiperspirant/deodorant is required. Strong fragrances are not permitted. 7. No gum chewing. 8. Uniforms must be clean and neatly pressed. Since fashions and trends can change, the faculty reserves the right to specify correction of any appearance concerns. E. ACCESSORIES 1. School Insignia: Patch is included on uniform purchased through the bookstore. Students cannot purchase a patch separately. 2. Picture I.D.: Obtained in college library. All students are required to obtain an I.D. with collar clip for identification purposes. These may be obtained from the library. The identification card must be worn whenever a student is in the clinical agency and nursing lab and it must be visible. 3. Scissors: One pair bandage scissors. 4. Watch: Any type with plain band and sweep second hand or digital second readout. 5. Necklaces: Should not be visible when in uniform. 6. Stethoscopes: Any type F. CLINICAL ASSIGNMENTS When seeking information about his/her patient during “nonclinical” hours, a student must appear on the nursing unit either in street clothes (no jeans or sweat suits) or in full student uniform. If in street clothes, the student must wear a buttoned, full length white lab coat, with name pin attached above the College insignia on the upper left front side. Quiet, conservative shoes should be worn. An agency identification badge may be required by certain clinical agencies. A fee may be assessed for this.
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When laboratory coats are worn to cover scrub attire worn outside special areas, such as Labor and Delivery, and Operating Room, the lab coat must be completely buttoned and laundered frequently. G. SMOKING Smoking is not permitted during clinical experiences at any clinical agencies regardless of their policies. H. IDENTIFICATION All students are required to obtain an I.D. with collar clip for identification purposes. These may be obtained from the library. The identification tag must be worn whenever a student is in the clinical agency and it must be visible.
Transfer Policy A nursing clinical transfer student is defined as an applicant who has been formerly enrolled in clinical nursing courses at another institution or in the Licensed Practical nursing program at LCCC. The following criteria for transfer into the practical nursing program include: . Application for admission to LCCC must be on file and processed in the Admissions Office . Official high school transcripts or GED (General Equivalency Diploma) must be on file in the Records Office. . Minimum 2.5 GPA and a C grade or better in all completed coursework required for the practical nursing program from LCCC or prior institutions. Students will not be considered for transfer if they have failed any nursing courses in their previous programs. . Submission of the following to the Program Director for Practical Nursing: . A nursing program curriculum guide of the program from which you are transferring . A list of nursing courses completed along with the course outlines . Two reference letters (using the Transfer Nursing Student Reference Form located in the Division of Allied Health and Nursing) from full time nursing faculty members teaching in the program from which you are transferring . A personal statement as to the reasons for the transfer . If the documentation submitted supports course equivalency, the Program Director will notify the transcript evaluator in writing and the transfer credit will be posted to the student’s academic achievement file.
Articulation Options Once you have completed the practical nursing curriculum and become licensed as a practical nurse, you may participate in the ACCESS Program at LCCC or at other participating Northeast Ohio Schools. The ACCESS Program allows you advanced placement in a registered nursing program (ADN or BSN) without excessive repetitive coursework and testing. Credit is given for prior nursing coursework to advance from LPN to RN, and RN to BSN levels in professional nursing in a timely manner. You may contact the Office of Health and Wellness Sciences for more information or email Dr. Donna Lupinski, ( [email protected]) coordinator of the LCCC Access Program
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In addition, articulation agreements with several four-year institutions have been secured by LCCC. Details are available in the Office of Student Development, Transfer, and Placement in the College Center.
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Chapter V: Student Support Services
Accommodations for Practical Nursing Student: Accessibility Services Accessibility Services exists to serve the needs of students with disabilities--physical, learning, and/or emotional. If you are a student with a disability who needs accommodations or assistance, you may contact Accessibility Services located in the College Center Building, Room 234 at 440-366-4058 or e-mail the office at [email protected]. You may also stop by the Accessibility Services office to schedule an appointment to meet with a Team Member. Additionally, the Accessibility Services website contains valuable information, including the steps for registering.
Advising, Counseling and Financial Assistance: Enrollment Services Enrollment Services serves as a “one-stop” for credit and non-credit students, whether they are potential, new, or returning students. This one-stop approach provides an array of enrollment services that include: admission, advising, counseling, registration, financial aid, and fee payment. Student Service Representatives and advising teams are prepared to provide not only general information, but Post-Secondary Enrollment Options, Tech Prep, University Partnership, Veterans, English as a Second Language, and International student information as well. The Enrollment Services is located on the first floor of the College Center building (CC 106). Pre-Nursing students should contact a health careers academic advisor. Currently enrolled nursing students should contact the Health Careers Counselor. Link to Advising and Counseling.
ARC (Advocacy and Resource Center) ARC provides information and referrals to campus and community resources, one-on-one support for personal and/or academic difficulties, crisis intervention, housing referrals, emergency loans, volunteer and internship opportunities, and special programs that address personal, educational and career concerns of men and women students. Call ARC for current hours. ARC welcomes and encourages women and men from the community to attend programs and take advantage of the services provided. All information is kept confidential. Contact ARC toll-free at 800-995-LCCC (extension 4035) or direct-dial 440-366-4ARC. Link to Advocacy and Resource Center
Financial Aid Sources of financial aid are available to students who attend LCCC. Many health care agencies are offering nursing scholarships. Federal and state grants, scholarships, incentive awards, student loans Federal Work Study employment and other third party providers such as employers and social service agencies are available. See the LCCC Catalog for more details. Applications for financial aid are available in the LCCC Connections Center located in the College Center. Link to Financial Aid.
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Employment and Career Services Employment and Career Services at LCCC offer a variety of services for the graduating nursing students. This department provides individual help for resume writing and interview skills. Twice a year, they host a job fair on campus for nursing students to contact their future employers. The students may also register for job placement. All graduating nursing students are required to complete a placement file in the Lorain County Community College placement office. Procedure will be discussed in a seminar during the last clinical nursing course.
Health Services Students requiring emergency medical care while on campus are sent to the nearest emergency health care facility via the Emergency Medical System (EMS). Campus Services will summon the EMS if needed or requested to do so. Emergency telephones are located throughout the campus automatically connecting the caller to Campus Services. Emergencies can also be reported from any campus phone by dialing 4444. Students may access the emergency medical department of the hospital/health care facility for accidents or injuries occurring during a clinical experience. Students may be responsible for payment. Hospital insurance at a student group rate is available for full-time students. Mental Health Services are available for all students at no charge through the Advocacy and Resource Center Office on the College campus (4035).
Individualized Learning Support and Testing Center On the main campus of LCCC, the Individualized Learning Support Center offers free tutoring in all subjects, study groups, computers, course resources and a writing/grammar hotline. Walk-in hours are available. Check with them in the Tutoring Center or at ext. 4057. Link: Academic Support Center/Tutoring If a student is sent to the Testing Center for testing, the following policies will be in effect: 1. Students present photo picture I.D. and sign in on the log at the Circulation Desk. 2. Students' belongings will be kept behind the counter during the test. 3. Students will not be allowed to leave the room until the test is completed. (Stop watches are available so students can check their time.) 4. No grading of tests will be done by the staff. 5. Students will need to make appointment with course instructor to discuss test results. Link to testing center for information.
Learning Management System Troubleshooting Students need to have basic computer skills and knowledge which includes how to send attachments, downloading and uploading files and the use of drop boxes to submit assignments. Your instructor is not a computer technician and therefore students experiencing difficulty with their computers need to contact technical experts to address
86 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM computer related problems. To determine the cause of an operational error and to get assistance with your computer problem contact the eLearning Center at 366-7582 or log on to [email protected]. All students are required to take Canvas Training/orientation, which is located on Canvas homepage. A student may also use the technical assistance available from Canvas. Faculty Meetings Practical Nursing faculty meetings are held in August, December, March, and May in the Health Science Office Conference Room in 223 or announced locations. Practical nursing students are invited to attend the meetings to provide input regarding the program and to voice concerns to the faculty. Dates and times will be available from the program administrator at least one month prior to the meeting. You may request that an item be added to the agenda by contacting the Nursing Program Administrator, Dr. Mary Grady, email: [email protected]
Student Nurse Association (SNA) The LCCC SNA functions to have a direct input into the demands of nursing education with influence on health care and practice. Community service projects are also an integral part of the organization. The SNA is a combined ADN and PN student organization. Meetings are held monthly and we encourage you to play an active role in the organization. The dates and times will be made available to you throughout the year. [Refer to the College Catalog for information on other student clubs and organizations on campus that are designed for your personal, professional and/or social growth.]
Student Representatives It is the desire of the Practical Nursing faculty to keep the lines of communication open between faculty and students. Also, the faculty desire student input into curriculum change as much as possible. Therefore, each semester the students enrolled in every clinical section of a Practical Nursing course, may elect a representative to act as liaison between students and faculty. Student representatives:
A. Attend faculty and committee meetings as requested (usually once per semester).
B. Report concerns/communications of students enrolled in respective clinical section; and
C. Report the proceedings of nursing faculty meetings to students enrolled in respective clinical section.
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Chapter VI: Graduation and Licensure Requirements Graduation Requirements Students must complete the 42 semester hours of the Practical Nursing program and maintain a 2.0 GPA to receive a Certificate of Proficiency in Practical Nursing. Refer to the LCCC Catalog for Universal Requirements for a Certificate of Proficiency. Students must complete a Graduation Request Form in the Counseling Office before anticipated graduation. Failure to complete the form will result in failure to receive the certificate that is sent to the Ohio Board ofNursing upon completion of the program, resulting in the student not being able to sit for the NCLEX-PN exam.
Licensure and NCLEX-PN Examination Upon completion of the Practical Nursing Program, you will be eligible to take the NCLEX-PN and apply for state licensure. A brief description of the procedures from application to receipt of results of the NCLEX using CAT examination is provided below. 1. The student must file a Graduation Request form. 2. The candidate is to submit a completed licensure application along with the fee ($75) to the Board of Nursing. OBN application is available at the OBN website. 3. The candidate is to submit electronic fingerprints to the Ohio Board of Nursing. 4. The candidate is to submit a completed examination registration form along with the fee ($200) to Pearson Vue or register with them by telephone payable by credit card only. 5. The Board is to receive a letter, in lieu of a transcript, from the director of the Nursing Program Administrator indicating that the candidate has successfully completed the requirements of both the nursing education program and the controlling agency. 6. Upon receipt of the official letter from the director, the Board will notify Pearson Vue that the candidate is eligible to take the licensure examination. 7. Pearson Vue will then send the candidate an Authorization to Test (ATT) letter, along with a complete listing of available testing sites. Notification may also be done by email. 8. Upon receipt of the ATT, the candidate is to call the designated testing center to schedule an appointment to take the NCLEX using CAT. 9. After the candidate has completed the examination, Pearson Vue will notify the Board of the candidate's test results. 10. The Board will then notify the candidate of his/her test results and will issue a license if the candidate was successful on the examination. 11. Candidates can view information on licensure at the Ohio Board of Nursing website: Ohio Board of Nursing Licensure Verification
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Much information on what to expect on the NCLEX-PN exam can be found on the NCSBN website: NCSBN NCLEX-PN Test Plan 2020
Request for Recommendation/Reference The Nursing program faculty will not write a blanket “To Whom It May Concern” reference letter. The process for requesting reference letters is as follows: 1. Use the Official Request for Reference - Nursing Program found in the Appendix of this Handbook. You may copy this form, as it is the only form faculty will use. It may be used to request a recommendation for employment or scholarship. 2. Complete the top of the form and sign it (student signature is required). 3. Take the completed form to the agency where you are seeking employment/applying for a scholarship/ etc. and ask them to send/fax it to the faculty member. After completing the reference, faculty will mail/fax it directly to the stated contact person. OR Bring the completed form to the faculty member and the reference will be sent directly to the agency. 3. Please note that if you choose to hand carry the reference to the agency, it becomes “unofficial” if it is opened prior to delivery to the agency.
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APPENDICES
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Student Name: ______
LCCC Nursing Lab Deficiency Point System
Point Occurrence Date Date Date Value Initials Initials Initials
Tardiness/Leaving early
2 • Tardy is defined as anything that is one minute and beyond the class start time. Leaving early is leaving prior to instructor dismissing class.
Absence:
2 • Absence from a 1 to 3 hour or less lab with notifying instructor at least ½ hour prior to scheduled starting time
4 • Absence from a 4 hour or more lab with notifying instructor at least ½ hour prior to scheduled starting time
5 • No call/no show for lab &/or check-off day.
Dress Code Violations:
2 • Dress code violation
3 • Refusing to adjust to dress code after instructor addresses violation with the student
Professional behavior
2 • First time: Assignment submitted late, or poor quality, or gross spelling errors
3 • Second and subsequent time: Assignment submitted late, or poor quality, or gross spelling errors
2 • Unprepared for lab class/practice / lab check -off due to not having appropriate supplies or forms.
3 • Disrespectful attitude, or actions, or language towards instructor, other instructors, or peers.
Student Laboratory Check-offs
2 • Student changes check-off to a later time (Student may switch times with another student within their own lab group on the scheduled date. Must
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notify lab instructor ahead of time in order to not earn points.)
3 • First unsuccessful check-off/competency. Will result in automatic deficiency and mandatory lab practice requirement prior to next evaluation.
• Lead instructor notification.
7 • Second unsuccessful check-off/competency, same skill. Lead instructor notification.
Performance Improvement Plan
> 5 • Student will receive a deficiency notice with a written plan to improve performance and promote student success.
• Lead instructor notification.
10 or > • Failure of lab. Lead instructor notification.
• A student who accumulates 10 or more points will receive an F in the Theory Course associated with the lab.
• There will be no option to withdraw from the course to prevent receiving a failing grade.
Professional Behavior Insolence: conduct which is offensive, disrespectful, impudent, rude, or insulting Insubordination: a refusal to carry out a lawful and reasonable instruction; refusal to obey orders
Performance Improvement Plan:
• *A student who is absent from a lab day will have required make up work assigned by lab instructor and must be completed satisfactorily to meet course requirements.
• A student who accumulates 5 or more points will receive a deficiency with a written plan to improve performance and promote student success. The deficiency notice should be delivered face to face, however the notice may be delivered through email to the student in CANVAS (Example: 5 points reached due to absence). Lead instructor to be notified and provided copy of deficiency form.
• If the faculty member notes that the student has had a history of problems with meeting lab objectives, a written plan may be implemented prior to the accumulation of 5 points to help support the success of the student. This is up to the faculty member’s discretion.
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Revised: 6/2016, 5/2017, 6/18
Date Student Signature Initials Instructor Signature Initials
Anecdotal Notes
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Student Name: ______
LCCC Nursing Clinical Deficiency Point System
Point Occurrence Date Date Date Value Initials Initials Initials
Tardiness/Leaving Early:
2 • Tardy is defined as anything that is one minute and beyond the clinical start time. Leaving early is leaving prior to instructor dismissing clinical.
Absence:
5 * • Absence from 0-5 hour clinical with notifying instructor at least ½ hour prior to scheduled start time
6 * • Absence from 6-8 hour clinical with notifying instructor at least ½ hour prior to scheduled start time
7 * • Absence from 9-12 hour clinical with notifying instructor at least ½ hour prior to scheduled start time
8 * • No call prior to start of clinical/ no show
Dress Code Violations:
2 • Violation of dress code
3 • Refusing to adjust to dress code after instructor addresses violation with the student
Professional behavior
2 • First time: Assignment submitted late, or poor quality, or gross spelling errors
3 • Second and subsequent time: Assignment submitted late, or poor quality, or gross spelling errors
3 • Disrespectful attitude, or actions, or language toward agency staff, or instructor, or clients, or peers.
3 • Unprepared for clinical
5 • Unsafe clinical practice
Critical Patient Safety Events –see definitions page
3 • Circumstances that have the capacity to cause patient / medication safety event.
94 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
5 • An event occurred that reaches the patient but does not cause harm.
8 • An event occurred that resulted in need for treatment or intervention and caused temporary patient harm.
Consequences:
>5 • Student will receive a deficiency notice with a written plan to improve performance and promote student success.
• Lead instructor notification.
10 or > • Failure of clinical. Lead instructor notification
• A student who accumulates 10 or more points will receive an F in the Theory Course associated with the clinical.
• There will be no option to withdraw from the course to prevent receiving a failing grade.
Performance Improvement Plan:
• *A student who is absent from a clinical day will have required make up work assigned by clinical instructor and must be completed satisfactorily to meet course requirements.
• A student who accumulates 5 or more points will receive a deficiency with a written plan to improve performance and promote student success. The deficiency notice should be delivered face to face, however the notice may be delivered through email to the student in CANVAS (Example: 5 points reached due to absence, or facility notifies instructor of a critical incident after clinical hours, etc.). Lead instructor to be notified and provided copy of deficiency form.
• If the faculty member notes that the student has had a history of problems with meeting clinical objectives, a written plan may be implemented prior to the accumulation of 5 points to help support the success of the student. This is up to the faculty member’s discretion.
Date Student Signature Initials Instructor Signature Initials
Revised 5/16, 5/17, 6/18
95 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
Anecdotal Notes
______
96 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
Deficiency Point Definitions Professional Behavior Insolence: conduct which is offensive, disrespectful, impudent, rude, or insulting Insubordination: a refusal to carry out a lawful and reasonable instruction; refusal to obey orders Critical Patient Safety Events
The National Coordinating council for Medication Error Reporting and Prevention recommends that medication error information be collected and reported as soon as possible, while the information is still fresh. Select only one of the medication error categories or subcategories, whichever best fits the error that is being reported.
NO ERROR (3pts): Circumstances or events that have the capacity to cause error ERROR, NO HARM [Note: Harm is defined as temporary or permanent impairment of the physical, emotional, or psychological function or structure of the body and/or pain resulting therefrom requiring intervention.]
(3 pts): An error occurred but the error did not reach the patient (An “error of omission” does reach the patient.)
(5 pts): An error occurred that reached the patient, but did not cause patient harm Medication reaches the patient and is administered Medication reaches the patient but not administered
(5 pts): An error occurred that reached the patient and required monitoring to confirm that it resulted in no harm to the patient and/or required intervention to preclude harm
ERROR, HARM (8 pts): An error occurred that may have contributed to or resulted in temporary harm to the patient and required intervention
(8 pts): An error occurred that may have contributed to or resulted in temporary harm to the patient and required initial or prolonged hospitalization, or resulted in permanent patient harm
Student Name: ______
97 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
LORAIN COUNTY COMMUNITY COLLEGE NURSING LAB
MANDATORY LAB PRACTICE FORM
Student Name______Course______
Mandatory Lab Practice:
Independent Practice Instruction – Missed Lab
Practice with Instructor Reinstruction
Skill: ______
Unsuccessful First Skill Check-Off Attempt (Date ______)
Unsuccessful First Competency Testing (Date______)
Areas in need of Practice:
______
______
______
______
Signature Referring Instructor: ______
Date of Practice ______Start Time ______Stop Time______
Instructor Documentation of Reinstruction / Student Practice Performance:
______
______
______
______
Instructor’s Signature Verifying Lab Practice Time and Documentation: ______
Student’s Signature:______
98 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
FERPA RELEASE LETTER OF RECOMMENDATION LORAIN COUNTY COMMUNITY COLLEGE 1005 N. Abbe Rd. North Elyria, OH 44035
800-995-5222
Name:
(Print Name) (Student ID #)
In accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA), I, the undersigned, hereby authorize [Instructor/Staff name] to provide a written and/or verbal reference in which he/she may reference the following educational records and information for the purpose of providing a recommendation for employment, college application, scholarship, etc.
Indicate Type of Record To Be Released: [Example: grades, GPA, class rank, academic standing, academic performance, professional behavior traits, code of conduct complaints and/or violations, etc.] ______
Name and Address of Receiving Party:
______
I understand further that: 1) I have the right not to consent to the release of my education records; 2) I have the right to receive a copy of such records upon request; and 3) that this consent shall remain in effect for one year from the date signed, unless revoked by me prior to one year from
99 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM the date signed, but that any such revocation shall not affect disclosures previously made by Lorain County Community College, prior to the receipt of any such written revocation.
□ I waive my right to review a copy of the letter or recommendation at any time in the future.
______Student’s Signature Date
THIS INFORMATION IS RELEASED SUBJECT TO THE CONFIDENTIALITY PROVISIONS OF FERPA AND OTHER APPROPRIATE STATE AND FEDERAL LAWS AND REGULATIONS, WHICH PROHIBITS ANY FURTHER DISCLOSURE OF THIS INFORMATION WITHOUT THE SPECIFIC WRITTEN CONSENT OF THE PERSON TO WHOM IT PERTAINS, OR AS OTHERWISE PERMITTED BY SUCH REGULATIONS.
cc:
[Receiving Party] REV 6/09
100 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
Lorain County Community College Division Health and Wellness
Student Name: ______Student#: ______Program Progression Plan Licensed Practical Nursing
Nursing Program Administrator or Program Coordinator: ______
Date: ______
Adjusted Sequencing of the LPN Curriculum
Fall Semester Spring Semester Summer Semester
This worksheet outlines the sequence in which the coursework is to progress. It is advised to also meet with your assigned program advisor in enrollment services. My signature indicates that I have read and understand the terms of this progression plan for the LPN curriculum.
Signature ______Date ______Student
Signature ______Date______Nursing Program Administrator or Practical Nursing Program Coordinator
101 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
The Division of Health and Wellness Sciences has adopted an Infection Control Policy. Agency policies regarding specific measures of infection control will be outlined during orientation at the individual clinical agencies. It is your responsibility to understand and implement these measures for the safety of patients and of yourself. You will find these policies in a manual in every agency on every nursing unit.
DIVISION OF HEALTH AND WELLNESS SCIENCES INFECTION CONTROL POLICY
I. BODY FLUIDS PRECAUTIONS A. Gloves 1. Disposable gloves should be donned prior to initiating client care tasks involving exposure or potential exposure to blood or other body fluids to which universal precautions apply. Gloves: a. will be worn during all venipunctures. b. will be worn when discontinuing intravenous therapy. c. will be worn when working with blood or body fluid samples. d. will be worn when handling items or surfaces soiled with blood or body fluids. e. will be worn when giving injections. f. will be changed between each patient. B. Masks, Eyewear, and Gowns 1. Masks and eyewear should be worn together or a faceshield should be used by workers prior to any situation where splashes of blood or other body fluids are likely to occur. 2. Gowns or aprons should be worn to protect clothing from splashes with blood or body fluids. 3. If large splashes of quantities of blood are present or anticipated, impervious gowns or aprons should be worn. C. Handwashing 1. Hands and skin surfaces should be immediately and thoroughly washed if contaminated with blood, body fluids or potentially contaminated articles. 2. Hands should be washed prior to donning and after removing gloves. D. Cleaning and Decontamination of Spills of Blood 1. All spills of blood and blood contaminated fluids should be promptly cleaned with EPA-approved germicide or a 1:10 bleach. The worker should wear gloves while following the procedure outlined below:
102 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
a. Visible material should be removed with disposable towels. AVOID DIRECT CONTACT WITH BLOOD. b. If splashing is likely, protective eyewear should be worn along with an impervious gown or apron. c. The area should be cleaned with the appropriate germicide. d. Soiled cleaning equipment should be disposed of in plastic bags. E. Linen, Soiled With Blood 1. Soiled linen should be handled as little as possible and with minimum agitation. 2. Soiled linen should be bagged at the location where it is used. 3. Linen soiled with blood or body fluids should be placed and transported in bags that are impervious to leakage. 4. Gloves should be worn when handling contaminated linens/clothing. 5. Shoes (leather) may be brushed-scrubbed with soap and hot water to remove contamination. 6. Uniforms soaked through with blood must be laundered by the agency's facility. F. Infectious Waste 1. Bulk blood, suctioned fluids, excretions and secretions may be carefully poured down a drain connected to a sanitary sewer. 2. All disposable equipment and supplies contaminated with blood and/or body fluids must be disposed in appropriate biohazardous containers. G. Special Policies 1. Needles, Syringes and Other Sharps a. Gloves will be worn when drawing blood or administering an injection. b. Do not recap contaminated needles, syringes or other sharps. c. Do not bend needles after use. d. Do not remove needles from disposable syringes. e. Reusable sharps, instruments and equipment should be returned for reprocessing to protect the environment from further contamination. f. Disposable syringes must be discarded immediately in a protected disposer. g. All other sharps must be discarded in a protected disposer. 2. Invasive Procedures (includes Surgery, Maternity, Cardiac Cauterization and Angiography) a. Gloves will be worn for all invasive procedures.
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b. Surgical masks will be worn for all invasive procedures. c. Masks and protective eyewear will be worn during procedures likely to generate splashes of blood or other body fluids. d. Gloves and gowns will be worn by personnel handling a placenta or infant until blood and amniotic fluid has been removed. 3. Laboratory a. Blood and body fluids should be contained in a receptacle with secure lid. b. Mechanical pipetting devices will be used. c. All items listed under Body Fluids Precautions. 4. Resuscitation Equipment a. Because of the risk of salivary transmission of other infectious diseases and the theoretical risk of H.I.V. and H.B.V. transmission during artificial ventilation, disposable airway equipment or resuscitation bags should be used. b. Pocket mouth-to-mouth resuscitation masks designed to isolate workers from contact with victim's blood, blood-contaminated saliva, respiratory secretions and vomitus. II. AIRBORNE PATHOGENS PRECAUTIONS A. Tuberculosis 1. Screening each year: All students enrolled in Health and Wellness Sciencesmust participate in a yearly tuberculosis screening. a. Mantoux (one step). b. Chest x-ray, if Mantoux is positive. *2. Each student will wear a particulate respirator mask when in direct contact with a client suspected of having or diagnosed with tuberculosis. 3. Students involved in transporting a client with suspected or diagnosed tuberculosis should apply the particulate respirator mask to the client. B. Meningitis 1. Masks must be worn by health care providers in direct contact with a client suspected or diagnosed with meningitis prior to the completion of 24 hours of appropriate antibiotic therapy. 2. Health care providers exposed without a mask to a client suspected or diagnosed with meningitis must follow up with the agency's infection control personnel for evaluation of the need for antibiotic prophylactics. * A particulate respirator mask filters out particles 1-5 microns in diameter.
104 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
Sources: CDC guidelines & Recommendations for HIV/AIDS CDC topic Infection Control and TB
105 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
DIVISION OF HEALTH AND WELLNESS SCIENCES
Guidelines for Body Substance Exposure in Clinical Settings Student -- any person who is undergoing specific clinical instruction in an affiliating agency. The students will be informed of body substance exposure protocol by their instructor or by educated specialists of the agency during the initial clinical orientation. A body substance exposure occurs when body fluids, especially blood, are splashed on mucous membranes, penetrate open sores on the skin, or a contaminated sharp punctures the skin while performing student duties. Because these occurrences are ways of transmitting Hepatitis B or H.I.V., the Division of Health and Wellness Sciences strongly urges you to follow these guidelines as soon as possible. If the student is exposed, the initial test must be done within seven days in order to satisfy the requirements of the Ohio law mandating the source patient to comply. (Hobson Bill)
Guidelines 1. The student and instructor are responsible for complying with agency protocol at the time of exposure. The student and instructor need to: a. Appropriately cleanse the area of exposure. b. Notify the unit manager of the exposure. c. Complete an incident form on the day of the exposure to the body fluid. d. Determine the tetanus history and follow-up with immunizations as directed by agency protocol. e. Attempt to identify the source of exposure and, if able, obtain informed consent for antibodies to the Human Immunodeficiency Virus (H.I.V. antibodies) and Hepatitis B Surface Antigen from the source patient. f. Have the student read educational materials about H.I.V. and Hepatitis B. 2. The Division Of Health and Wellness Sciences recommends that the student be tested for H.I.V. Free testing sites are available in Lorain and Cuyahoga Counties. The student should be tested at least four (4) times over a one-year period: 1) initial test; 2) at six weeks; 3) at six months; 4) at one year. Counseling is also available at the sites. Refrain from giving blood during the testing period. 3. The Division Of Health and Wellness Sciences recommends that the student be tested for Hepatitis B Surface Antibodies and, if needed, the student should receive the Hepatitis B Vaccine. The student can receive this vaccine at the local Health Department or can contract his/her physician or go to the nearest emergency department. Immunizations cost approximately $150.00 for three (3) doses over a six-month period. If the student is pregnant or becomes pregnant, she should consult her physician immediately.
106 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
4. If the precise source of the student's exposure is unknown, the student will need a dose of Hepatitis B Immune Globulin, which can be given along with the Hepatitis B vaccine. The student can receive this at the local public Health Department. 5. The instructor urges the student to encourage compliance with these guidelines and provide for appropriate counseling to support the student.
107 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
Guidelines for Exposure to Tuberculosis in Clinical Settings Lorain County Community College will follow agency policy if exposure to tuberculosis is confirmed.
American Hospital Association Advisory Committee Statement of the Advisory Committee on Infections Within Hospitals on Protection of Health Care Workers The Advisory Committee on Infections Within Hospitals of the American Hospital Association (AHA) has reviewed the recent Centers for Disease Control (CDC) update concerning infection with the Human Immunodeficiency Virus (HIV) in three health care workers exposed to blood of infected patients. During this review, discussion were held with representatives of the CDC. The CDC update (MMWR 5/22/87, Vol. 36, No. 19) noted that ". . . the precise risk of transmission during exposures of open wounds or mucous membranes to contaminated blood cannot be defined, . . . studies indicate that it must be very low." The committee, nonetheless, concurs with CDC and recommends that for every hospital, precautions must be strictly followed whenever there is a possibility of exposure to blood or other body fluids. All anticipated exposure requires the use of gloves. Some kind of exposures may also require the use of gowns, masks and eye coverings. Hands and other contaminated skin surfaces should be washed thoroughly and immediately if accidentally contaminated with blood or body fluids. It should be noted that previous AHA guidelines only recommended the use of precautions for the handling of patients or specimens infected with HIV. The committee is now recommending these precautions for ALL blood or body fluid exposure. In light of the above recommendation, some institutions may wish to discontinue the labeling of specimens and the use of blood and body fluid precautions for individual patients, as these precautions should now be applied universally. Institutions implementing this recommendation must assure it applies for all hospital personnel coming in contact with blood or body fluids. This can be achieved through adequate training, supervision, and the assurance the supplies and equipment are readily available to personnel. In making this recommendation, the Advisory Committee on Infections concurs with the CDC that universal use of blood and body fluid precautions represents the best means of protection of health care personnel against HIV transmission, rather than routine HIV testing of all hospital patients. Furthermore, reliance on negative HIV test results to determine when to apply specific precautions may lead to a false sense of security and the taking of unreasonable risks. Both the Advisory Committee on Infections and the CDC continue to emphasize, however, the value of HIV serologic testing for patient diagnosis and management on a selective case-by-case basis.
108 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
Student Concern Progression Plan Name/student #______
Concern
Step 1: Meeting with faculty member with whom concern lies
Discussion:
Instructor: ______Student:______Date:______Step 2: Meeting with Lead Instructor (if applicable)
Discussion:
Lead Instructor: ______Student:______Date:: ______Step 3: Meeting with Nursing Programs Administrator
Discussion:
Program Administrator______Student:______Date: ______Step 4: Meeting with Dean
109 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
Discussion:
Dean: ______Student:______Date: ______
110 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
Include this “Permission to Review Student File” form with your professional letter requesting readmission.
111 LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PRACTICAL NURSING PROGRAM
Lorain County Community College
Division of Health and Wellness
Associate Degree Nursing Program
Permission to Review Student File
I, , give permission to the Program Director of the
(Please print name)
Practical Nursing Program, the Readmission Committee, and nursing faculty to examine all my records including application information, transcripts from LCCC and other institutions, and evaluations in order to make a decision regarding my request for readmission to the Practical Nursing program.
Student Signature:
Student #: Date:
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